Healthcare Provider Details

I. General information

NPI: 1902938434
Provider Name (Legal Business Name): JAMES L COBIA M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 HAMLIN PARMA TOWNLINE RD
HILTON NY
14468-9513
US

IV. Provider business mailing address

240 HAMLIN PARMA TOWNLINE RD
HILTON NY
14468-9513
US

V. Phone/Fax

Practice location:
  • Phone: 585-392-7956
  • Fax: 585-392-7956
Mailing address:
  • Phone: 585-392-7956
  • Fax: 585-392-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: