Individual
MRS. CAROLINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Mailing address
5896 ROUTE 21, WILLIAMSON, NY 14589-9102
(585) 880-1320
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308497
NY
Other
Enumeration date
10/16/2017
Last updated
09/07/2022
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