Healthcare Provider Details

I. General information

NPI: 1740367812
Provider Name (Legal Business Name): MARIFRANCES K COOPER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ALEXANDER ST STE 602
ROCHESTER NY
14607-4008
US

IV. Provider business mailing address

220 ALEXANDER ST STE 602
ROCHESTER NY
14607-4008
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-8585
  • Fax: 585-922-8555
Mailing address:
  • Phone: 585-922-8585
  • Fax: 585-922-8555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number420281
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: