Individual
MRS. ANNE MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
33 MITCHELL AVE, SUITE G50, BINGHAMTON, NY 13903-1674
(607) 771-2220
(607) 771-2225
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009125-1
NY
363A00000X
Physician Assistant
MA051704
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02368078
—
NY
01
—
GU039978
MEDICARE GROUP
PA
01
—
P00147128
RR MEDICARE PIN
PA
Enumeration date
03/22/2006
Last updated
11/23/2011
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