| Cooney, M.d. Inc | |
|
1029 Kapahulu Ave Ste 310 Honolulu HI 96816-1305 | |
| (808) 486-3600 | |
| (808) 733-5122 |
| Full Name | Cooney, M.d. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1029 Kapahulu Ave, Honolulu, Hawaii |
| Authorized Official Name and Position | Jon Cooney (OWNER) |
| Authorized Official Contact | 8084863600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooney, M.d. Inc 1029 Kapahulu Ave Ste 310 Honolulu HI 96816-1305 Ph: () - | Cooney, M.d. Inc 1029 Kapahulu Ave Ste 310 Honolulu HI 96816-1305 Ph: (808) 486-3600 |
| NPI Number | 1659597383 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Medicare PECOS PAC ID | 2466404108 |
|---|---|
| Medicare Enrollment ID | O20050210000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659597383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | (* (Not Available)) | Primary |
| Provider Name | Jon P Cooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033287313 PECOS PAC ID: 2365494002 Enrollment ID: I20050214000775 |
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