Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 262189 | NY |
N | 207X00000X | Orthopaedic Surgeon | L-237524 | MA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036-128263 | IL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 262189 | NY |
NPI | 1376798850 |
---|---|
Provider Name | Dr. Herbert John Cooper JR. |
First Address | New York, NY 10075-1851 |
Second Address | New York, NY 10075-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 25/11/2013 |