Individual provider · Type 1 NPI

Segullah John Malepiro Cosare, MD

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1316890163 Active

Practice location

355 Bard Ave
Staten Island, NY 10310-1699

Call (718) 818-2419 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316890163

Segullah John Malepiro Cosare, MD's National Provider Identifier is 1316890163, issued on Feb 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 19, 2026.