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NPI Code Detail

MEDICARE: MISS SABRINA G. DICOSMO MA, LPC

MEDICARE: MISS SABRINA G. DICOSMO MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37PC00315900NJ

General Provider Information

NPI Number : 1700966017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SABRINA G. DICOSMO MA, LPC
Provider Business Mailing Address
First Line : 1021 LACORTE TER
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-1617
Country : US
Telephone Number : 908-276-6162
Fax Number :
Provider Business Practice Location Address
First Line : 108 ALDEN ST
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-2131
Country : US
Telephone Number : 908-497-3968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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