Individual
MR. FREDERICK PAUL COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
4401 BRONX BLVD, BRONX, NY 10470
(718) 304-7047
(718) 304-7067
Mailing address
85 OVERLOOK CIR, NEW ROCHELLE, NY 10804-4501
(914) 441-8664
(914) 632-2490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18186
NY
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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