Individual
ALIZE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E STEVENS AVE STE LL5, VALHALLA, NY 10595-1286
(914) 997-8000
Mailing address
750 E 179TH ST APT 9D, BRONX, NY 10457-5129
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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