Cosgrove, Edward Joseph

Cosgrove, Edward Joseph is an sole proprietor health care provider with primary practice located at 6245 Sheridan Dr Suite 212, Williamsville NY 14221-4834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Cosgrove, Edward Joseph can be contacted via phone (716) 204-4500.

Contact Information

Primary practice address
6245 Sheridan Dr Suite 212 Williamsville NY 14221-4834
Phone: (716) 204-4500
Fax: (716) 204-4501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 202079-1 New York

Profile Details

NPI number 1639123433
LBN Legal business name Cosgrove, Edward Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Nov 14th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639123433 NPPES
New York MEDICAID 01760214

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