Individual
DR. DUSTIN TAYLOR COOPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
475 48TH AVE APT 409, LONG ISLAND CITY, NY 11109-5505
(516) 459-6672
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
285238-1
NY
Other
Enumeration date
04/05/2012
Last updated
12/18/2018
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