Healthcare Provider Details

I. General information

NPI: 1750309241
Provider Name (Legal Business Name): J & E MEDICAL SPECIALTIES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BRIGHAM RD
FREDONIA NY
14063-1004
US

IV. Provider business mailing address

50 BRIGHAM RD
FREDONIA NY
14063-1004
US

V. Phone/Fax

Practice location:
  • Phone: 716-672-6662
  • Fax:
Mailing address:
  • Phone: 716-672-6662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number239319
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number239319
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number239552
License Number StateNY

VIII. Authorized Official

Name: DR. FELIXBERTO COSICO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 716-672-6673