Organization
MOHAWK VALLEY ORTHOPEDICSN LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY H COOLEY M.D. (DR.)
(315) 797-1212
Entity
Organization
Contact information
Practice address
1903 SUNSET AVE, UTICA, NY 13502-5617
(315) 797-1212
Mailing address
1903 SUNSET AVE, UTICA, NY 13502-5617
(315) 797-1212
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK2684
RAILROAD MEDICARE
NY
Enumeration date
09/26/2006
Last updated
11/14/2008
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