Individual
DR. SCOTT COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
30 DEKALB AVE, 2ND FLOOR, BROOKLYN, NY 11201-5314
(718) 744-7209
(718) 488-1919
Mailing address
2346 E 29TH ST, BROOKLYN, NY 11229-5028
(347) 702-7324
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00287600
NJ
213ES0131X
Foot Surgery Podiatrist
Primary
N006205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02948612
—
NY
Enumeration date
06/28/2006
Last updated
01/24/2017
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