Kooperman, Denise Elizabeth

Kooperman, Denise Elizabeth is an sole proprietor health care provider with primary practice located at 313 N Tioga St , Ithaca NY 14850-4205. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Kooperman, Denise Elizabeth can be contacted via phone (607) 272-1014.

Contact Information

Primary practice address
313 N Tioga St Ithaca NY 14850-4205
Phone: (607) 272-1014
Fax: (607) 272-3547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X F400114-1 New York

Profile Details

NPI number 1538181839
LBN Legal business name Kooperman, Denise Elizabeth
Credentials N.P., M.S.N., C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1538181839 NPPES
New York MEDICAID 02509924

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