Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 14190 | NH |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 263838 | NY |
NPI | 1427200716 |
---|---|
Provider Name | Dr. P. Christopher Cook |
First Address | Rochester, NY 14642 |
Second Address | Rochester, NY 14642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2008 |
Last Update Date | 17/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1015683 | (05) | VT |
30208204 | (05) | NH |