Individual
DR. ALFRED JOSEPH COSSARI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 BARNUM AVENUE, PORT JEFFERSON, NY 11777
(631) 928-6400
(631) 928-2353
Mailing address
311 BARNUM AVENUE, PORT JEFFERSON, NY 11777
(631) 928-6400
(631) 928-2353
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
119075
NY
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
119075-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222615
—
NY
Enumeration date
09/11/2006
Last updated
04/22/2020
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