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Individual

DR. STEVEN JAY COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 COLLEGE RD, MONSEY, NY 10952-2826
(845) 425-4713
(845) 425-4713
Mailing address
55 COLLEGE RD, MONSEY, NY 10952-2826
(845) 425-4713
(845) 425-4713

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
165774
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01F44FW271
MEDICARE PTAN
05
06000165774
NY
Enumeration date
10/05/2006
Last updated
02/18/2015
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