Cooper, Joanne L

Cooper, Joanne L is an individual health care provider with primary practice located at 14 Hudson Ave , Glens Falls NY 12801-4448. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Cooper, Joanne L can be contacted via phone (518) 926-5600.

Contact Information

Primary practice address
14 Hudson Ave Glens Falls NY 12801-4448
Phone: (518) 926-5600
Fax: (518) 926-5605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 014989 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 014989 New York

Profile Details

NPI number 1780963975
LBN Legal business name Cooper, Joanne L
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Jun 26th, 2024 - about last year

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 1780963975 NPPES
New York MEDICAID 03360592

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