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Organization

JEFFREY COOPER O.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER COLAVITO O.D. (OPTOMETRIST)
(212) 758-0772
Entity
Organization

Contact information

Practice address
539 PARK AVE, NEW YORK, NY 10065-8167
(212) 758-0772
(212) 758-3532
Mailing address
539 PARK AVE, NEW YORK, NY 10065-8167
(212) 758-0772
(212) 758-3532

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
VUT006115
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02118165
NY
01
JC0C265B10
BC/BS
NY
Enumeration date
12/06/2007
Last updated
12/07/2007
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