Cooper, Scott

Cooper, Scott is an sole proprietor health care provider with primary practice located at 30 Dekalb Ave 2Nd Floor, Brooklyn NY 11201-5314. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Cooper, Scott can be contacted via phone (718) 744-7209.

Contact Information

Primary practice address
30 Dekalb Ave 2Nd Floor Brooklyn NY 11201-5314
Phone: (718) 744-7209
Fax: (718) 488-1919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00287600 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N006205 New York

Profile Details

NPI number 1588692974
LBN Legal business name Cooper, Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jan 24th, 2017 - about 7 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 1588692974 NPPES
New York MEDICAID 02948612

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