Cooper, Pamela D

Cooper, Pamela D is an individual health care provider with primary practice located at 480 Penbrooke Drive, Suite 6, Penfield, Ny 14526 309 Latona Rd., Rochester NY 14626-2117. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Cooper, Pamela D can be contacted via phone (585) 498-6326.

Contact Information

Primary practice address
480 Penbrooke Drive, Suite 6, Penfield, Ny 14526 309 Latona Rd. Rochester NY 14626-2117
Phone: (585) 498-6326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 612757-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403699 New York

Profile Details

NPI number 1700071362
LBN Legal business name Cooper, Pamela D
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Jun 24th, 2024 - about 5 months 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 1700071362 NPPES
New York MEDICAID 02688186

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