# COOPER KIDS THERAPY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477923613
- **Authorized official:** MS. ELLEN COOPER (DIRECTOR)
- **Authorized official phone:** (516) 496-4460

## Contact information

- **Practice address:** 2 ROOSEVELT AVE, SUITE 300, SYOSSET, NY 11791-3064
- **Practice address phone:** (516) 496-4460
- **Mailing address:** 2 ROOSEVELT AVE, SUITE 300, SYOSSET, NY 11791-3064
- **Mailing address phone:** (516) 496-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2015
- **Last updated:** 09/30/2015