Individual
DAVID COOKISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(978) 870-3214
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56764
CA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/14/2014
Last updated
11/16/2021
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