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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053396655 | NPPES |
| New York | MEDICAID | 01822339 |
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