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1205322641
EILEEN MARY COOPER
SYRACUSE, NY
NPI
1205322641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 402445)
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
EILEEN MARY COOPER PMHNP
620 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-3600
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Mailing Address
EILEEN MARY COOPER PMHNP
5813 N BURDICK ST
EAST SYRACUSE, NY 13057-9546
Phone number: 315-663-6464
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