Organization
COOPER WELLNESS AND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON REID COOPER DC, LAC (OWNER)
(646) 941-5061
Entity
Organization
Contact information
Practice address
15 W 44TH ST, 8TH FLOOR, NEW YORK, NY 10036-6611
(646) 941-5061
(646) 941-5043
Mailing address
15 W 44TH ST, 8TH FLOOR, NEW YORK, NY 10036-6611
(646) 941-5061
(646) 941-5043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010898
NY
171100000X
Acupuncturist
004751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407814817
X7K46XBBK1
NY
Enumeration date
04/19/2016
Last updated
04/19/2016
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