Individual
DR. JONATHAN EDWARDS COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ST. PETER'S NURSING & REHAB. CENTER, SOUTH MANNING BLVD. AND HACKETT BLVD., ALBANY, NY 12208-8897
(518) 525-1297
Mailing address
1155 LEESOME LN, ALTAMONT, NY 12009-6307
(518) 861-8021
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
148700
NY
Other
Enumeration date
12/15/2005
Last updated
07/08/2007
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