Individual
ASHLEY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
740 64TH ST, BROOKLYN, NY 11220-4714
(718) 439-2000
(718) 439-2004
Mailing address
55 WATER ST, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03873998
—
NY
Enumeration date
10/16/2013
Last updated
09/11/2019
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