Individual
DAVID NELSON COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
742 JAMES ST, SYRACUSE, NY 13203-2017
(315) 703-2800
(315) 703-2766
Mailing address
14661 CENTER RD, STERLING, NY 13156-4161
(315) 342-2058
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402663-01
NY
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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