| Doctor Name: | MRS. LESLIE COOPER |
| NPI Number: | 1043520927 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | F336504 |
| Business Practice Address: | 200 Route 59 Suffern, NY - 109015009 |
| Business Phone Number: | 8453699300 |
| Business Fax Number: | 8457036297 |
| Mailing Address: | 155 Crystal Run Rd, MIDDLETOWN |
| State: | NY |
| Postal Code: | 109414028 |
| Phone Number: | 8457036999 |
| Fax Number: | 8457036297 |
| NPI Enumeration Date: | 10/13/2010 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F336504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |