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Organization

RANDOLPH B. COOKE MD

Active
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Organization

RANDOLPH B. COOKE MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTY KINNEY (OFFICE MANAGER)
(607) 687-7141
Entity
Organization

Contact information

Practice address
596 5TH AVE, OWEGO, NY 13827-1629
(607) 687-7141
(607) 687-2224
Mailing address
596 5TH AVE, OWEGO, NY 13827-1629
(607) 687-7141
(607) 687-2224

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
116682
NY

Other

Enumeration date
03/27/2007
Last updated
11/13/2008
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