Individual provider · Type 1 NPI

Evan S. Cooley, MD

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1619666773 Active

Practice location

4900 Broad Rd Ste 3
Syracuse, NY 13215-2265

Call (315) 492-3429 Map

Mailing address

115 Ryans Way
Oneida, NY 13421-1548

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619666773

Evan S. Cooley, MD's National Provider Identifier is 1619666773, issued on May 4, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on May 4, 2023.