Individual
MRS. BETH K COOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
112 FRANKLIN PL, WOODMERE, NY 11598-1217
(516) 374-3671
(516) 374-7864
Mailing address
112 FRANKLIN PL, WOODMERE, NY 11598-1217
(516) 374-3671
(516) 374-7864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01880051
—
NY
Enumeration date
03/01/2012
Last updated
03/01/2012
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