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Individual

VINCENT T COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPIAL, GLENS FALLS, NY 12801
(518) 926-5600
(518) 926-5605
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
236133
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02647863
NY
Enumeration date
01/11/2007
Last updated
08/30/2021
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