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NPI Code Detail

MEDICARE: ASHLEY COOPER ANP-C

MEDICARE:   ASHLEY  COOPER  ANP-C
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
1363LA2200XAdult Health Nurse Practitioner306649NY

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 : 1376971994
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY COOPER ANP-C
Provider Business Mailing Address
First Line : 55 WATER ST
Second Line : 2ND FLOOR CRED DEPT
City : NEW YORK
State : NY
Zip : 10041-0004
Country : US
Telephone Number : 646-680-2888
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 740 64TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4714
Country : US
Telephone Number : 718-439-2000
Fax Number : 718-439-2004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2013
Last Update Date : 09/11/2019

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Directions to “ ASHLEY COOPER ANP-C” Practice Location

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