Individual
CLIFFORD COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PRO HEALTH PLZ, LAKE SUCCESS, NY 11042-1111
(516) 622-6020
Mailing address
2 PRO HEALTH PLZ, LAKE SUCCESS, NY 11042-1111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152908
NY
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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