Organization
JEFFREY COOPER OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SANFORD COOPER OD (OPTOMETRIST)
(212) 758-0772
Entity
Organization
Contact information
Practice address
539 PARK AVENUE, NEW YORK, NY 10021
(212) 758-0772
Mailing address
539 PARK AVE, NEW YORK, NY 10065-8167
(212) 758-0772
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
VUT003001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P48939
—
NY
Enumeration date
01/08/2007
Last updated
08/02/2011
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