Individual
ILEANA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
250 MAIN ST STE A, MADISON, NJ 07940-2237
(913) 264-4307
Mailing address
51 CLINTON PL, STATEN ISLAND, NY 10302-2102
(347) 967-7364
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00090201
NJ
Other
Enumeration date
07/02/2014
Last updated
05/01/2025
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