Individual
BRIAN JAMES COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 731-4724
(516) 719-3924
Mailing address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 731-4724
(516) 719-3924
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
221020-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02362669
—
NY
01
—
221020-1W
WORKERS COMPENSATION
NY
01
—
BC08L01010
BLUE CROSS BLUE SHIELD
NY
Enumeration date
06/23/2005
Last updated
07/08/2007
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