Individual
MS. JANE ANN KOOP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
500 W MAIN ST, SUITE 110, BABYLON, NY 11702-3027
(631) 669-4500
(631) 669-7710
Mailing address
272 JOHNSON AVE, SAYVILLE, NY 11782-1144
(631) 589-4624
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303829
NY
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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