Individual
ALAN STUART COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 CEDAR LN, SETAUKET, NY 11733-3101
(631) 941-0202
Mailing address
3 CEDAR LN, SETAUKET, NY 11733-3101
(631) 941-0202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
144671
NY
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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