Cooper, Barendina Yolanda

Cooper, Barendina Yolanda is an sole proprietor health care provider with primary practice located at 8326 Lake St , Sodus Point NY 14555-9613. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cooper, Barendina Yolanda can be contacted via phone (315) 483-2130.

Contact Information

Primary practice address
8326 Lake St Sodus Point NY 14555-9613
Phone: (315) 483-2130
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 221642 New York

Profile Details

NPI number 1013081306
LBN Legal business name Cooper, Barendina Yolanda
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1013081306 NPPES
New York MEDICAID 01656582

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