Cooper, Kimberly L

Cooper, Kimberly L is an individual health care provider with primary practice located at 161 Fort Washington Ave 11Th Floor, New York NY 10032-3729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Cooper, Kimberly L can be contacted via phone (212) 305-0114.

Contact Information

Primary practice address
161 Fort Washington Ave 11Th Floor New York NY 10032-3729
Fax: (212) 305-0129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 215128 New York

Profile Details

NPI number 1881703890
LBN Legal business name Cooper, Kimberly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 19th, 2014 - about 10 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 1881703890 NPPES
New York MEDICAID 02356283

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