Individual
DALE MARIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
755 PULASKI RD, GREENLAWN, NY 11740-1710
(641) 925-5011
Mailing address
87 LOU AVE, KINGS PARK, NY 11754-1521
(631) 269-4446
(866) 239-5445
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000903-1
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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