Individual
MARCIA ANGELA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
5645 MAIN ST, CVRU, 2ND FLOOR, FLUSHING, NY 11355-5045
(718) 670-2610
Mailing address
11911 NASHVILLE BLVD, SAINT ALBANS, NY 11412-3827
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307059-1
NY
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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