Individual
DR. LEROY H COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1903 SUNSET AVE, UTICA, NY 13502-5617
(315) 797-1212
(315) 797-1537
Mailing address
1903 SUNSET AVE, UTICA, NY 13502-5617
(315) 797-1212
(315) 797-1537
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
143660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00561239
—
NY
01
—
200045569
RAILROAD MEDICARE
NY
Enumeration date
07/10/2006
Last updated
03/19/2012
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