Individual
CAROL J COOPER-BAUCICOT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
731 WHITE PLAINS RD, BRONX, NY 10473-2631
(718) 589-8324
(718) 378-2880
Mailing address
731 WHITE PLAINS RD, BRONX, NY 10473-2631
(718) 589-8324
(718) 378-2880
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
Enumeration date
08/17/2005
Last updated
07/08/2007
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