Cook, Jack B

Cook, Jack B is an individual health care provider with primary practice located at 305 Hillside Ave , Williston Park NY 11596-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cook, Jack B can be contacted via phone (516) 747-4011.

Contact Information

Primary practice address
305 Hillside Ave Williston Park NY 11596-2102
Phone: (516) 747-4011
Fax: (516) 747-1277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 127282 New York

Profile Details

NPI number 1467433904
LBN Legal business name Cook, Jack B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467433904 NPPES
New York Other 127282 HIP
New York MEDICAID 00351368 HIP
New York Other 2C3455 HIP
New York Other 42Z652 HIP
New York Other 16240 HIP
New York Other 0098910 HIP
New York Other 0344848 HIP
New York Other AS708 HIP
New York Other 2209991 HIP
New York Other JC042Z6520 HIP
New York Other 4313878 HIP

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