Individual
NANCY A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 READE PL, VASSAR BROTHERS MEDICAL CENTER, POUGHKEEPSIE, NY 12601-3947
(845) 454-4700
(845) 790-5719
Mailing address
2678 SOUTH RD STE 202, POUGHKEEPSIE, NY 12601-5254
(845) 790-5700
(845) 790-5719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RESIDENT
CT
2085R0202X
Diagnostic Radiology Physician
226698
AK
2085R0202X
Diagnostic Radiology Physician
Primary
2644891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03622915
—
NY
05
—
1750439
—
AK
Enumeration date
12/04/2007
Last updated
03/12/2025
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