Individual
DR. KENNETH S COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025
(212) 523-4275
(212) 523-3798
Mailing address
1780 BROADWAY, 1100, NEW YORK, NY 10019
(212) 590-2930
(212) 590-2982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
184814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605229
—
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
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