Cooney, Leo Mathias

Cooney, Leo Mathias is an individual health care provider with primary practice located at 789 Howard Ave Dana Building - 3Rd Floor, New Haven CT 06519-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Cooney, Leo Mathias can be contacted via phone (203) 688-2204.

Contact Information

Primary practice address
789 Howard Ave Dana Building - 3Rd Floor New Haven CT 06519-1304
Phone: (203) 688-2204
Fax: (203) 688-3876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 018221 Connecticut
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 018221 Connecticut

Profile Details

NPI number 1992787287
LBN Legal business name Cooney, Leo Mathias
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Dec 9th, 2020 - about 4 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 1992787287 NPPES
Connecticut MEDICAID 001182211

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