Cooper, Kathryn

Cooper, Kathryn is an individual health care provider with primary practice located at 1000 E Genesee St Ste 300, Syracuse NY 13210-1892. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Cooper, Kathryn can be contacted via phone (315) 471-1044.

Contact Information

Primary practice address
1000 E Genesee St Ste 300 Syracuse NY 13210-1892
Phone: (315) 471-1044
Fax: (315) 474-4312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X F331842 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F331842 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F331842 New York

Profile Details

NPI number 1750377479
LBN Legal business name Cooper, Kathryn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750377479 NPPES
New York MEDICAID 02054626

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