Individual
DR. STEPHANIE ANNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 CROSSWAYS PARK DRIVE, WOODBURY, NY 11797-2028
(516) 364-4200
(516) 590-0267
Mailing address
160 CROSSWAYS PARK DRIVE, WOODBURY, NY 11797-2028
(516) 364-4200
(516) 590-0267
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
176149-01
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
176149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05854
MEDICARE
—
01
—
1750467189
NPI
NY
01
—
P640524
OXFORD
—
Enumeration date
10/27/2006
Last updated
02/21/2020
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