National Provider Identifier

Jean Colleen Cosenza

Jean Colleen Cosenza is listed in the NPPES registry with a primary specialty of Community Health Worker in Derby, NY and a listed phone number of (716) 570-8219.

NPI 1770962151Derby, NYCommunity Health Worker

Profile Overview

NPI
1770962151
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
May 19, 2015
Last Updated
May 19, 2015

Practice Location

  • 1115 Wisconsin RD
  • Derby, NY 14047-9577

Phone: (716) 570-8219

Specialties

  • Community Health Worker (172V00000X)
  • Counselor (101Y00000X)
Full Record
NPI
1770962151
Entity Type
Individual
Last Name
Cosenza
First Name
Jean
Middle Name
Colleen
Mailing Street Address
1115 Wisconsin RD
Mailing City
Derby
Mailing State
NY
Mailing ZIP Code
14047-9577
Mailing Country
US
Mailing Phone
(716) 570-8219
Practice Street Address
1115 Wisconsin RD
Practice City
Derby
Practice State
NY
Practice ZIP Code
14047-9577
Practice Country
US
Practice Phone
(716) 570-8219
Enumeration Date
May 19, 2015
Last Updated
May 19, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X), Counselor (101Y00000X)