Individual
DR. MICHAEL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(781) 226-6988
Mailing address
1 EDGEWATER ST, 6TH FLOOR, STATEN ISLAND, NY 10305-4900
(718) 226-1013
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
196555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01822339
—
NY
Enumeration date
12/07/2005
Last updated
06/27/2008
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