Individual
NAKETA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
344 W 51ST ST, NEW YORK, NY 10019-6402
(212) 581-7767
Mailing address
646 MEAD ST, BRONX, NY 10460-3096
(347) 578-4265
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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