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NPI Code Detail

MEDICARE: DR. SHARON ROSE COOPERMAN PH.D.

MEDICARE:  DR. SHARON ROSE COOPERMAN  PH.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
1103TC0700XClinical Psychologist014149NY

General Provider Information

NPI Number : 1205092442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON ROSE COOPERMAN PH.D.
Provider Business Mailing Address
First Line : 18 ARDMORE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-7114
Country : US
Telephone Number : 914-725-3846
Fax Number :
Provider Business Practice Location Address
First Line : 211 W 61ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10023-7832
Country : US
Telephone Number : 212-777-5966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2008
Last Update Date : 08/06/2008

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Directions to “ DR. SHARON ROSE COOPERMAN PH.D.” Practice Location

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