Healthcare Provider Details

I. General information

NPI: 1124940606
Provider Name (Legal Business Name): COGNOSIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 1/2 FORREST AVE STE 7
NARBERTH PA
19072-2220
US

IV. Provider business mailing address

104 1/2 FORREST AVE STE 7
NARBERTH PA
19072-2220
US

V. Phone/Fax

Practice location:
  • Phone: 551-444-0924
  • Fax:
Mailing address:
  • Phone: 551-444-0924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELA ZBOROWSKI
Title or Position: COO
Credential:
Phone: 551-444-0924