Provider Demographics
NPI:1538461975
Name:COSENZA, DAVID J (PA-C)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:COSENZA
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:469 MIGEON AVE
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-4643
Mailing Address - Country:US
Mailing Address - Phone:860-489-0931
Mailing Address - Fax:860-489-3325
Practice Address - Street 1:469 MIGEON AVE
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-4643
Practice Address - Country:US
Practice Address - Phone:860-489-0931
Practice Address - Fax:860-489-3325
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2015-09-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical