Dr. Dustin Taylor Cooperman, M.D.
Anesthesiology in Manhasset, NY. Individual provider (NPI-1).
NPI number1720344609
StatusActive
Last updated in NPPESDec 18, 2018
Details
- NPI
- 1720344609
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dustin Taylor Cooperman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2012
- Last updated
- Dec 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 285238-1 | NY | Yes |
Practice location
300 Community DrManhasset, NY 11030-3816
Phone 516-562-0100
Mailing address
475 48th Ave Apt 409Long Island City, NY 11109-5505
Phone 516-459-6672
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