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1871798157
FREDERICK PAUL COSGROVE
BRONX, NY
NPI
1871798157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18186)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Mr. FREDERICK PAUL COSGROVE CASAC
4401 BRONX BLVD
BRONX, NY 10470
Phone number: 718-304-7047
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Mailing Address
Mr. FREDERICK PAUL COSGROVE CASAC
85 OVERLOOK CIR
NEW ROCHELLE, NY 10804-4501
Phone number: 914-441-8664
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