Individual
JARED BLAINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 MAPLE AVE FL 8, WHITE PLAINS, NY 10601-4706
(914) 849-5300
Mailing address
122 MAPLE AVE FL 8, WHITE PLAINS, NY 10601-4706
(914) 849-5300
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
323225
NY
Other
Enumeration date
05/19/2016
Last updated
08/15/2024
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