Kerry Cooper in Bronx - Addiction (substance Use Disorder)
Kerry Cooper - NPI 1710056726
Kerry Cooper is a Addiction (substance Use Disorder) in Bronx, New York. Kerry Cooper practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kerry Cooper is 1710056726. The last update date is 2009-03-13.
Kerry Cooper's current location address is 3584 Jerome Ave, Bronx, New York. You can contact this provider via phone number 7186531537 and fax number 7188821426. The mailing address for Kerry Cooper is 3584 Jerome Ave, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Cooper |
|---|---|
| Address | 3584 Jerome Ave, Bronx, New York |
| Phone Number | 7186531537 |
| Fax Number | 7188821426 |
| Sole Proprietor | N |
| Credentials | CASAC |
NPI Number Detail
| NPI Number | 1710056726 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2009-03-13 |
Provider Mailing Address Detail
| Address | 3584 Jerome Ave |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104671006 |
| Phone Number | 7186531537 |
| Fax Number | 7188821426 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 12174 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1420795 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kerry Cooper by the Centers for Medicare & Medicaid Services?
The Kerry Cooper has been issued the NPI (National Provider Identifier) 1710056726, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kerry Cooper's facilities are situated?
The facilities of Kerry Cooper are physically located at the following address: 3584 Jerome Ave, Bronx, NY, 104671006.
What is the Kerry Cooper's area of specialization and corresponding taxonomy classification?
The Kerry Cooper's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date was the 1710056726 assigned to Kerry Cooper?
The Kerry Cooper was issued its 1710056726 on 2006-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kerry Cooper, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kerry Cooper, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-03-13.