Individual
MR. JEFFREY COOPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 N GANNON AVE, STATEN ISLAND, NY 10314-4343
(917) 414-4552
(718) 982-8931
Mailing address
117 N GANNON AVE, STATEN ISLAND, NY 10314-4343
(917) 414-4552
(718) 982-8931
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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