Healthcare Provider Details

I. General information

NPI: 1437226644
Provider Name (Legal Business Name): PATRICIA JOAN COOPER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA JOAN THOMPSON NP

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5645 MAIN ST NY HOSPITAL MEDICAL CENTER OF QUEENS
FLUSHING NY
11355-5045
US

IV. Provider business mailing address

5645 MAIN ST NY HOSPITAL MEDICAL CENTER OF QUEENS
FLUSHING NY
11355-5045
US

V. Phone/Fax

Practice location:
  • Phone: 718-670-1426
  • Fax: 610-617-6280
Mailing address:
  • Phone: 718-670-1426
  • Fax: 610-617-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF381254
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: