Cooper, Jerome A

Cooper, Jerome A is an individual health care provider with primary practice located at 150 Lockwood Ave Suite #28, New Rochelle NY 10804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cooper, Jerome A can be contacted via phone (914) 633-7870.

Contact Information

Primary practice address
150 Lockwood Ave Suite #28 New Rochelle NY 10804
Phone: (914) 633-7870
Fax: (914) 633-7626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 090394 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 090394 New York

Profile Details

NPI number 1366559817
LBN Legal business name Cooper, Jerome A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1366559817 NPPES
Other 4123681 AETNA PPO
Other 538167 AETNA PPO
Other W5339 AETNA PPO
Other 000873 AETNA PPO
Other 01227178 AETNA PPO
Other 210550 AETNA PPO
MEDICAID 00142847 AETNA PPO
Other 23518P AETNA PPO
Other 8897196009 AETNA PPO

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