Cooper, Iceyleen

Cooper, Iceyleen is an sole proprietor health care provider with primary practice located at 4904 19Th Ave , Astoria NY 11105-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cooper, Iceyleen can be contacted via phone (718) 777-3494.

Contact Information

Primary practice address
4904 19Th Ave Astoria NY 11105-1002
Phone: (718) 777-3494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009579 New York

Profile Details

NPI number 1225268360
LBN Legal business name Cooper, Iceyleen
Credentials RPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2009
Last updated Jul 23rd, 2009 - about 16 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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