Kim Cooke
Social Worker in East Northport, NY. Individual provider (NPI-1).
NPI number1013492016
StatusActive
Last updated in NPPESSep 26, 2018
Details
- NPI
- 1013492016
- Entity type
- Individual (NPI-1)
- Name
- Kim Cooke
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2018
- Last updated
- Sep 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | NY100526-1 | NY | Yes |
Practice location
42 Rofay DriveEast Northport, NY 11731
Phone 631-988-1507
Mailing address
42 Rofay DriveEast Northport, NY 11731
Phone 631-988-1507
Other practice locations
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All 18 Social Worker providers in East Northport · All 619 providers in East Northport
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