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Individual

MR. ALBERT K COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11134 FARMERS BLVD, SAINT ALBANS, NY 11412-2328
(718) 454-1467
(718) 554-7123
Mailing address
17235 HIGHLAND AVE, 3E, JAMAICA ESTATES, NY 11432
(718) 454-1467
(718) 554-7123

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
215652
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01985428
NY
Enumeration date
03/14/2006
Last updated
02/16/2010
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