Individual
DR. JEFFREY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1448 86TH ST, BROOKLYN, NY 11228-3429
(718) 236-4186
(718) 837-0341
Mailing address
539 PARK AVE, NEW YORK, NY 10065-8167
(212) 758-0772
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
VUT003001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01557675
—
NY
Enumeration date
11/21/2006
Last updated
11/05/2015
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