Individual
DR. EZRA ROBERT COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
108 COLD SPRING RD, SYOSSET, NY 11791-3110
(516) 364-1465
(516) 364-1465
Mailing address
108 COLD SPRING RD, SYOSSET, NY 11791-3110
(516) 364-1465
(516) 364-1465
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003441-1
NY
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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