Cooley, Michael Robert

Cooley, Michael Robert is an individual health care provider with primary practice located at 6 Wellness Way Ste G06 , Latham NY 12110-2135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cooley, Michael Robert can be contacted via phone (518) 786-1600.

Contact Information

Primary practice address
6 Wellness Way Ste G06 Latham NY 12110-2135
Phone: (518) 786-1600
Fax: (518) 786-1606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 273554 New York

Profile Details

NPI number 1669509014
LBN Legal business name Cooley, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated May 9th, 2024 - about 6 months 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 1669509014 NPPES
New York MEDICAID 03836808

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