Individual provider · NPI-1
Dr. Stephanie Anne Cooper, MD
Plastic Surgery · Woodbury, NY
NPI number1750467189
StatusActive
Last updated in NPPESFeb 21, 2020
Details
- NPI
- 1750467189
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie Anne Cooper
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2006
- Certification date
- Feb 21, 2020
- Last updated
- Feb 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 176149-01 | NY | Yes |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 176149 | NY |
Other names
- Stephanie Cooper Vastola (Former Name)
Practice location
160 Crossways Park DriveWoodbury, NY 11797-2028
Phone 516-364-4200 · Fax 516-590-0267
Mailing address
160 Crossways Park DriveWoodbury, NY 11797-2028
Phone 516-364-4200 · Fax 516-590-0267
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