Organization
ADA S COOPER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA S COOPER DDS PC (OWNER)
(212) 838-2760
Entity
Organization
Contact information
Practice address
417 PARK AVENUE, NEW YORK, NY 10022
(212) 838-2760
(212) 838-6614
Mailing address
417 PARK AVENUE, NEW YORK, NY 10022
(212) 838-2760
(212) 838-6614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050089
NY
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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