Individual
ALEXIS COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 HOOKER AVE, POUGHKEEPSIE, NY 12601-4391
(845) 264-7828
Mailing address
29 HOOKER AVE, POUGHKEEPSIE, NY 12601-4391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343720
NY
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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