Individual
ASHANTAY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1246 AFFINITY LN, ROCHESTER, NY 14616-1715
(585) 208-0160
Mailing address
1246 AFFINITY LN, ROCHESTER, NY 14616-1715
(585) 208-0160
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324056
NY
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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