Cooke, Randolph B

Cooke, Randolph B is an individual health care provider with primary practice located at 596 5Th Ave , Owego NY 13827-1629. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cooke, Randolph B can be contacted via phone (607) 687-7141.

Contact Information

Primary practice address
596 5Th Ave Owego NY 13827-1629
Fax: (607) 687-2224
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 116682 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 116682 New York

Profile Details

NPI number 1588658926
LBN Legal business name Cooke, Randolph B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Nov 21st, 2011 - about 13 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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