| Cooper Chiropractic And Wellness Center Pllc | |
|
36 West 44th Street, Suite 610 6fl, New York, NY 10036-8105 | |
| (646) 941-5061 | |
| (646) 941-5043 |
| Full Name | Cooper Chiropractic And Wellness Center Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 36 West 44th Street, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669639449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X010898 (New York) | Primary |
| Provider Name | Brandon R Cooper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407814817 PECOS PAC ID: 4789646894 Enrollment ID: I20041101000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Chiropractic And Wellness Center Pllc 36 West 44th Street, Suite 610 6fl, New York, NY 10036-8105 Ph: (646) 941-5061 | Cooper Chiropractic And Wellness Center Pllc 36 West 44th Street, Suite 610 6fl, New York, NY 10036-8105 Ph: (646) 941-5061 |
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