Individual
SHANIECE AMBER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
570 1ST AVE, NEW YORK, NY 10016-6512
(212) 263-5550
Mailing address
235 CATOR AVE UNIT 1, JERSEY CITY, NJ 07305-2738
(917) 402-5147
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
821679
NY
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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