Cosby, Tishamarie

Cosby, Tishamarie is an sole proprietor health care provider with primary practice located at 15 Horseblock Pl , Farmingville NY 11738-1204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cosby, Tishamarie can be contacted via phone (631) 854-2552.

Contact Information

Primary practice address
15 Horseblock Pl Farmingville NY 11738-1204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1356651160
LBN Legal business name Cosby, Tishamarie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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