Individual
JOANNE L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
14 HUDSON AVE, GLENS FALLS, NY 12801-4448
(518) 926-5600
(518) 926-5605
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014989
NY
363AM0700X
Medical Physician Assistant
Primary
014989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03360592
—
NY
Enumeration date
08/05/2011
Last updated
03/16/2026
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