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Organization
MICHAEL COOPERMAN
Active
Organization
MICHAEL COOPERMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COOPERMAN (ADMINISTRATOR)
(212) 777-2527
Entity
Organization
Contact information
Practice address
380 2ND AVE, 301, NEW YORK, NY 10010-5615
(212) 777-2527
(917) 591-2660
Mailing address
380 2ND AVE, 301, NEW YORK, NY 10010-5615
(212) 777-2527
(917) 591-2660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003858
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051083
GROUP HEALTH INCORPORTE
NY
Enumeration date
10/09/2007
Last updated
10/09/2007
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