Provider Demographics
NPI:1285766063
Name:COSMAN, FELICIA (MD)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:
Last Name:COSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HELEN HAYES HOSPITAL
Mailing Address - Street 2:51-55 N ROUTE 9W
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1195
Mailing Address - Country:US
Mailing Address - Phone:845-786-4429
Mailing Address - Fax:845-786-4878
Practice Address - Street 1:51 S ROUTE 9W
Practice Address - Street 2:HELEN HAYES HOSPITAL
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1055
Practice Address - Country:US
Practice Address - Phone:845-786-4494
Practice Address - Fax:845-787-4878
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16139401174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
BC0451219OtherDEA
BC0451219OtherDEA