Individual
DR. FELICIA DENISE LORETTA COOPER OVERMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(646) 426-3876
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
328034
NY
Other
Enumeration date
04/10/2020
Last updated
06/27/2024
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