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Evan S Cooley, MD
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1619666773

Evan S Cooley is a Student in an Organized Health Care Education/Training Program based in Oneida, NY. Evan S Cooley practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Evan S Cooley is 1619666773 and holds a License No. (New York).

The current practice location address for Evan S Cooley is 4900 Broad Rd Ste 3, Syracuse, NY and can be reached out via phone at 315-492-3429.

Location: 4900 Broad Rd Ste 3, Syracuse, NY, 13421-1548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619666773
Provider Name
Evan S Cooley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4900 Broad Rd Ste 3, Syracuse, NY, 13421-1548
Phone Number
315-492-3429
Fax Number
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4900 Broad Rd Ste 3
City
Syracuse
State
New York
Zip
13215-2265
Phone Number
315-492-3429
Fax Number
person
Provider Business Mailing Address Details
Address
4900 Broad Rd Ste 3
City
Syracuse
State
New York
Zip
13215-2265
Phone Number
315-492-3429
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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