Organization
AMY COOPER GROSSBERG P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY COOPER GROSSBERG OD (PRESIDENT)
(973) 278-4480
Entity
Organization
Contact information
Practice address
165 MAIN ST, PATERSON, NJ 07505-1201
(973) 278-4480
Mailing address
165 MAIN ST, PATERSON, NJ 07505-1201
(973) 278-4480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27T0000A1300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6072208
—
NJ
Enumeration date
01/08/2007
Last updated
08/22/2020
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