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Individual

JOHN DAVID COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4435 SENECA RD, TRUMANSBURG, NY 14886-9201
(607) 387-5707
(607) 387-4354
Mailing address
4435 SENECA RD, TRUMANSBURG, NY 14886-9201
(607) 387-5707
(607) 387-4354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228525
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02411741
NY
Enumeration date
10/10/2005
Last updated
03/03/2011
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