Cooney, Derek Robert

Cooney, Derek Robert is an individual health care provider with primary practice located at 750 E Adams St Upstate Emergency Medicine, Syracuse NY 13210-2306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cooney, Derek Robert can be contacted via phone (315) 464-4363.

Contact Information

Primary practice address
750 E Adams St Upstate Emergency Medicine Syracuse NY 13210-2306
Phone: (315) 464-4363
Fax: (315) 464-8690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M0691 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 243861 New York

Profile Details

NPI number 1811959612
LBN Legal business name Cooney, Derek Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 7th, 2013 - about 12 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 1811959612 NPPES
Texas MEDICAID 1721391-01
Texas Other 8P9119
Texas MEDICAID 02881712
Texas Other 1721391-02

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