Cooperman, Kenneth Bruce

Cooperman, Kenneth Bruce is an individual health care provider with primary practice located at 355 E 149Th St Suite 202, Bronx NY 10455-3909. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Cooperman, Kenneth Bruce can be contacted via phone (718) 993-5454.

Contact Information

Primary practice address
355 E 149Th St Suite 202 Bronx NY 10455-3909
Phone: (718) 993-5454
Fax: (718) 993-5455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 046957-1 New York

Profile Details

NPI number 1427361872
LBN Legal business name Cooperman, Kenneth Bruce
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2010
Last updated Jul 14th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427361872 NPPES
New York MEDICAID 02207707

Popular Providers