Organization
ILENE Z. COOPERSMITH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILENE Z. COOPERSMITH M.D. (OWNER)
(718) 266-1676
Entity
Organization
Contact information
Practice address
2101 MERMAID AVE, BROOKLYN, NY 11224-2517
(718) 266-1676
(718) 266-4528
Mailing address
2101 MERMAID AVE, BROOKLYN, NY 11224-2517
(718) 266-1676
(718) 266-4528
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00183284
—
NY
Enumeration date
12/22/2014
Last updated
12/22/2014
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