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1588640106
JONATHAN EDWARDS COOPER
ALBANY, NY
NPI
1588640106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 148700)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
Dr. JONATHAN EDWARDS COOPER M.D.
ST. PETER'S NURSING & REHAB. CENTER SOUTH MANNING BLVD. AND HACKETT BLVD.
ALBANY, NY 12208-8897
Phone number: 518-525-1297
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Mailing Address
Dr. JONATHAN EDWARDS COOPER M.D.
1155 LEESOME LN
ALTAMONT, NY 12009-6307
Phone number: 518-861-8021
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