Individual
IAN KEITH COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
20 W RAYMOND AVE, ROOSEVELT, NY 11575-1014
(340) 713-8397
(340) 719-5103
Mailing address
20 W RAYMOND AVE, ROOSEVELT, NY 11575-1014
(340) 713-8397
(340) 719-5103
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005172
NY
213E00000X
Podiatrist
1058
VI
Other
Enumeration date
09/25/2006
Last updated
02/10/2026
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