Individual provider · Type 1 NPI
Ezra Robert Cooper, DC
Chiropractor · Syosset, NY
NPI number
1578627410
Active
Practice location
108 Cold Spring Rd
Syosset, NY 11791-3110
Fax (516) 364-1465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X003441-1 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1578627410
Ezra Robert Cooper, DC's National Provider Identifier is 1578627410, issued on Dec 21, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Syosset, NY. The record was last updated on Jul 8, 2007.