| Patricia Cossio Md Llc | |
|
64 Welland Rd Brookline MA 02445-4504 | |
| (617) 435-4969 | |
| Not Available |
| Full Name | Patricia Cossio Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 64 Welland Rd, Brookline, Massachusetts |
| Authorized Official Name and Position | Patricia Cossio (OWNER) |
| Authorized Official Contact | 6174354969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Cossio Md Llc 64 Welland Rd Brookline MA 02445-4504 Ph: (617) 435-4969 | Patricia Cossio Md Llc 64 Welland Rd Brookline MA 02445-4504 Ph: (617) 435-4969 |
| NPI Number | 1750146643 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 3870035942 |
|---|---|
| Medicare Enrollment ID | O20240604002437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750146643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Patricia C Cossio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639247448 PECOS PAC ID: 4284679507 Enrollment ID: I20050627000765 |
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