Cooper, Leslie

Cooper, Leslie is an individual health care provider with primary practice located at 260 N Little Tor Rd , New City NY 10956. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cooper, Leslie can be contacted via phone (845) 999-3060.

Contact Information

Primary practice address
260 N Little Tor Rd New City NY 10956
Phone: (845) 999-3060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336504 New York

Profile Details

NPI number 1043520927
LBN Legal business name Cooper, Leslie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2010
Last updated Jun 6th, 2019 - about 5 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 1043520927 NPPES
New York MEDICAID 03402095

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