Doctor Name: | MS. KRISTIN MARIE COOKE |
NPI Number: | 1124021241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F340492-1 |
Business Practice Address: | 785 Delaware Ave. Delmar Family Medicine Delmar, NY - 12054 |
Business Phone Number: | 5183207517 |
Business Fax Number: | 5184390214 |
Mailing Address: | 785 Delaware Ave., Delmar Family Medicine DELMAR |
State: | NY |
Postal Code: | 12054 |
Phone Number: | 5183207517 |
Fax Number: | 5184390214 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 08/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | F340492-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |