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Lisa Marie Cogswell, MS Sp. Ed., SBL

Specialist in Baldwin, NY. Individual provider (NPI-1).

NPI number1417455676
StatusActive
Last updated in NPPESJan 23, 2018

Details

NPI
1417455676
Entity type
Individual (NPI-1)
Name
Lisa Marie Cogswell
Credential
MS Sp. Ed., SBL
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 23, 2018
Last updated
Jan 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist1730721NYYes
252Y00000X Early Intervention Provider Agency1730721NY

Practice location

2690 Wilddale Rd
Baldwin, NY 11510-4127

Phone 347-729-8909 · Fax 646-868-1230

Mailing address

2690 Wilddale Rd
Baldwin, NY 11510-4127

Phone 347-729-8909 · Fax 646-868-1230

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