Cooley, Glenn Robert

Cooley, Glenn Robert is an individual health care provider with primary practice located at 530 Liberty St , Schenectady NY 12305-2014. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cooley, Glenn Robert can be contacted via phone (518) 382-7200.

Contact Information

Primary practice address
530 Liberty St Schenectady NY 12305-2014
Phone: (518) 382-7200
Fax: (518) 382-7205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 125746 New York
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 125746 New York
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 125746 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 125746 New York

Profile Details

NPI number 1972504538
LBN Legal business name Cooley, Glenn Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Aug 7th, 2014 - about 10 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 1972504538 NPPES
New York MEDICAID 00527986

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