Organization Name: | COSGROVE CONSULTATIONS INC. |
NPI Number: | 1043423882 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH ANN COSGROVE (PRESIDENT) |
Mailing Address: | 3375 Park Ave Suite 3007 Wantagh |
State: | NY US |
Postal Code: | 117933733 |
Phone Number: | 5167855544 |
Fax Number: | 5167855570 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F400581-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |