Individual
KENDALL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(754) 581-0065
Mailing address
204 9TH AVE APT 2R, NEW YORK, NY 10011-4965
(754) 581-0065
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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