Cooper, Judy Nan

Cooper, Judy Nan is an sole proprietor health care provider with primary practice located at 2 Holly Dr , East Northport NY 11731-5222. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cooper, Judy Nan can be contacted via phone (631) 368-0004.

Contact Information

Primary practice address
2 Holly Dr East Northport NY 11731-5222
Phone: (631) 368-0004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R041005-1 New York

Profile Details

NPI number 1922308667
LBN Legal business name Cooper, Judy Nan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2010
Last updated Oct 28th, 2010 - about 14 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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