Cook, William A.

Cook, William A. is an individual health care provider with primary practice located at 1050 Clove Rd , Staten Island NY 10301-3627. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cook, William A. can be contacted via phone (718) 816-6440.

Contact Information

Primary practice address
1050 Clove Rd Staten Island NY 10301-3627
Fax: (718) 816-3642
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 152888 New York

Profile Details

NPI number 1790773299
LBN Legal business name Cook, William A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Nov 12th, 2012 - about 14 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 1790773299 NPPES
New York MEDICAID 01546529

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