Individual
PATRICIA R COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
474 MAHONEY ROAD, CHATEAUGAY, NY 12920
(518) 497-6824
Mailing address
474 MAHONEY ROAD, CHATEAUGAY, NY 12920
(518) 497-6824
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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