William A. Cook, M.D.
Specialist in Staten Island, NY. Individual provider (NPI-1).
NPI number1790773299
StatusActive
Last updated in NPPESNov 12, 2012
Details
- NPI
- 1790773299
- Entity type
- Individual (NPI-1)
- Name
- Mr. William A. Cook
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2005
- Last updated
- Nov 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 152888 | NY | Yes |
Practice location
1050 Clove RdStaten Island, NY 10301-3627
Phone 718-816-6440 · Fax 718-816-3642
Mailing address
2791 Richmond AveSuite 201
Staten Island, NY 10314-5882
Phone 718-816-6440 · Fax 718-816-3611
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