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NPI Code Detail

MEDICARE: JOHN DAVID COOKE M.D.

MEDICARE: JOHN DAVID COOKE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician228525NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427046853
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DAVID COOKE M.D.
Provider Business Mailing Address
First Line : 4435 SENECA RD
Second Line :
City : TRUMANSBURG
State : NY
Zip : 14886-9201
Country : US
Telephone Number : 607-387-5707
Fax Number : 607-387-4354
Provider Business Practice Location Address
First Line : 4435 SENECA RD
Second Line :
City : TRUMANSBURG
State : NY
Zip : 14886-9201
Country : US
Telephone Number : 607-387-5707
Fax Number : 607-387-4354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 03/03/2011

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