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Individual

HEATHER T COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3251 WESTCHESTER AVE, BRONX, NY 10461-4509
(718) 792-7600
(718) 792-1074
Mailing address
3251 WESTCHESTER AVE, BRONX, NY 10461-4509
(718) 792-7600
(718) 792-1074

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206069
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01991937
NY
Enumeration date
02/08/2006
Last updated
07/08/2007
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