Jack P Cossman (NPI# 1912318304, PAC ID# 3779831177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1912318304 |
| PAC ID by PECOS | 3779831177 |
| Professional Enrollment ID | I20180801001581 |
| Full Name | Jack P Cossman |
| Organization Legal Name | UPPER WEST SIDE DERMATOLOGY PC |
| Address |
277 W End Ave Apt 1b New York NY 10023-2605 |
| Phone Number | 2127690069 |
| Gender | M |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7517052012 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330204 | BELLEVUE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 277 W End Ave, Apt 1b, New York, NY 10023-2605 | 2127690069 | UPPER WEST SIDE DERMATOLOGY PC |
| Organization Legal Name | UPPER WEST SIDE DERMATOLOGY PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naomi Donnelley | Dermatology | Upper West Side Dermatology PC | 277 W End Ave, Apt 1b, New York, NY 10023-2605 |
| Lisa Beth Travis | Dermatology | Upper West Side Dermatology PC | 277 W End Ave, Apt 1b, New York, NY 10023-2605 |
| Falguni A Asrani | Dermatology | Upper West Side Dermatology PC | 277 W End Ave, Apt 1b, New York, NY 10023-2605 |
| Street Address |
277 W END AVE APT 1B |
| City | NEW YORK |
| State | NY |
| Zip | 10023-2605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naomi Donnelley | Dermatology | Upper West Side Dermatology PC | 277 W End Ave, Apt 1b, New York, NY 10023-2605 |
| Ruth P Cohen | Psychiatry | 277 W End Ave, 5c, New York, NY 10023-2609 | |
| Lisa Beth Travis | Dermatology | Upper West Side Dermatology PC | 277 W End Ave, Apt 1b, New York, NY 10023-2605 |
| Falguni A Asrani | Dermatology | Upper West Side Dermatology PC | 277 W End Ave, Apt 1b, New York, NY 10023-2605 |
| Antonia F Kofinas | Dermatology | Upper West Side Dermatology, P.C. | 277 W End Ave, New York, NY 10023-2605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rinaldo Petronio | Clinical Social Worker | 140 W 69th St, Grond Floor C/o Manhattan Medical Care, New York, NY 10023-0134 | |
| Susan Pomerantz | Psychologist, Clinical | 240 W End Ave, 1b, New York, NY 10023-0137 | |
| John V Oleary | Psychologist, Clinical | 304 W 75th St, Apt 1a, New York, NY 10023-1693 | |
| Deborah Weichenberg | Allergy/immunology | 2121 Broadway, Suite 401a, New York, NY 10023-1786 | |
| Harold Rosenthal | Physical Therapy | 2121 Broadway, Suite 404, New York, NY 10023-1786 | |
| Jamie Lisa Blau | Chiropractic | 2121 Broadway, Suite 401a, New York, NY 10023-1786 | |
| James R Harder | Clinical Social Worker | 161 W 75th St, Apt 1b, New York, NY 10023-1802 | |
| Janet F Margolis | Clinical Social Worker | 161 W 75th St, 1b, New York, NY 10023-1802 | |
| John Frank Genke | Clinical Social Worker | 161 W 75th St, 10b, New York, NY 10023-1805 | |
| Hilary A Levine | Clinical Psychologist | 145 Central Park W, Suite 1a, New York, NY 10023-2004 | |
| Find all physicians in zip 10023 | |||
| City | NEW YORK |
| Zip Code | 10023 |
| Specialty | DERMATOLOGY |
| City + Specialty | NEW YORK + DERMATOLOGY |
Please comment or provide details below to improve the information on Jack P Cossman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.