Organization
COMPREHENSIVE GYNECOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL COOPER (MEDICAL DIRECTOR)
(631) 273-0505
Entity
Organization
Contact information
Practice address
42 1ST AVE, BRENTWOOD, NY 11717-4602
(631) 273-0505
Mailing address
42 1ST AVE, BRENTWOOD, NY 11717-4602
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
092267
NY
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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