KIMBERLY A COSSARO

MASSAPEQUA DERMATOLOGY PLLC

Dr KIMBERLY A COSSARO is a female medical professional, specializing in Physician Assistant. She graduated in 2003.

Contact

MASSAPEQUA DERMATOLOGY PLLC

70 GRAND AVE
MASSAPEQUA
NY
117584906

Tel: 5167991602

KIMBERLY A COSSARO Information

Npi 1427132018
Pac Id 9032336722
Professional Enrollment Id I20140804000281
Last Name COSSARO
First Name KIMBERLY
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2003
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MASSAPEQUA DERMATOLOGY PLLC
Group Practice Pac Id 2769637941
Number Of Group Practice Members 4
Line 1 Street Address 70 GRAND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MASSAPEQUA
State NY
Zip Code 117584906
Phone Number 5167991602
Hospital Affiliation Ccn 1 330393
Hospital Affiliation Lbn 1 SUNY/STONY BROOK UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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