| Contact Information | |
|---|---|
| First Name | John |
| Last Name | Coccorese |
| Address | 37 Seawanhaka Ave. |
| City | nesconset |
| State | NY |
| Province | |
| Zip/Postal Code | 11767-3232 |
| Country | United States |
| Home Phone | 631 - 648-3927 |
| Work Phone | 631 - 487-5719 |
| Fax | |
| coccorese@bnl.gov | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | John - Coccorese |
| Date of Injury | 02/20/2007 |
| Type of Injury | Traumatic |