Individual
KIMBERLY L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, 11TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-0114
(212) 305-0129
Mailing address
161 FORT WASHINGTON AVE, 11TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-0114
(212) 305-0129
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
215128
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02356283
—
NY
Enumeration date
08/30/2006
Last updated
08/19/2014
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