Organization
COOPERCRWN NY CORP
Active
Other names
coopercrwn
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN KIM (PRESIDENT)
(201) 731-3587
Entity
Organization
Contact information
Practice address
20939 NORTHERN BLVD, BAYSIDE, NY 11361-3134
(347) 502-7850
Mailing address
20939 NORTHERN BLVD, BAYSIDE, NY 11361-3134
(201) 731-3587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
04/01/2021
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