Cooper, Charles L.
Cooper, Charles L. is an sole proprietor health care provider with primary practice located at 6243 Woodhaven Blvd , Rego Park NY 11374-3731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cooper, Charles L. can be contacted via phone (718) 507-4700.Contact Information
Primary practice address
6243 Woodhaven Blvd
Rego Park NY 11374-3731
Phone: (718) 507-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 161780 | New York |
Profile Details
| NPI number | 1205836590 |
|---|---|
| LBN Legal business name | Cooper, Charles L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Sep 18th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205836590 | NPPES |
| New York | MEDICAID | 00967868 |
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