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NPI Code Detail

MEDICARE: HEATHER J COOK-SMITH DNP

MEDICARE: HEATHER J COOK-SMITH DNP
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
1363LF0000XFamily Nurse Practitioner333782NY

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 : 1255362794
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER J COOK-SMITH DNP
Provider Business Mailing Address
First Line : 165 BROADWAY FL 23
Second Line :
City : NEW YORK
State : NY
Zip : 10006-1452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 165 BROADWAY FL 23
Second Line :
City : NEW YORK
State : NY
Zip : 10006-1452
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 03/30/2026

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