Cooper, Michael

Cooper, Michael is an individual health care provider with primary practice located at 500 Seaview Ave , Staten Island NY 10305-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Cooper, Michael can be contacted via phone (781) 226-6988.

Contact Information

Primary practice address
500 Seaview Ave Staten Island NY 10305-3436
Phone: (781) 226-6988
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 196555 New York

Profile Details

NPI number 1053396655
LBN Legal business name Cooper, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jun 27th, 2008 - about 18 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 1053396655 NPPES
New York MEDICAID 01822339

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