Doctor Name: | VICTORIA COOK |
NPI Number: | 1255484788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F400458 |
Business Practice Address: | 5505 Nesconset Hwy Suite 238 Mount Sinai, NY - 117662037 |
Business Phone Number: | 6319283122 |
Business Fax Number: | 6319283192 |
Mailing Address: | 5505 Nesconset Hwy, Suite 238 MOUNT SINAI |
State: | NY |
Postal Code: | 117662037 |
Phone Number: | 6319283122 |
Fax Number: | 6319283192 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F400458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |