Cooperman, Marilena
Cooperman, Marilena is an sole proprietor health care provider with primary practice located at 600 Northern Blvd Ste 212 , Great Neck NY 11021. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Cooperman, Marilena can be contacted via phone (347) 538-1390.Contact Information
Primary practice address
600 Northern Blvd Ste 212
Great Neck NY 11021
Phone: (347) 538-1390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 293326-1 | New York |
Profile Details
| NPI number | 1659786218 |
|---|---|
| LBN Legal business name | Cooperman, Marilena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2014 |
| Last updated | Jul 11th, 2018 - about 8 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 | 1659786218 | NPPES |
| New York | Other | 293326-1 | MEDICAL LICENSE |
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