Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 18 006624 | NY |
NPI | 1003183732 |
---|---|
Provider Name | Daniel Joseph Cook |
First Address | New York, NY 10011-8971 |
Second Address | New York, NY 10011-8971 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2011 |
Last Update Date | 01/03/2016 |