Provider Demographics
NPI:1417400284
Name:COONEY, CAITLIN (CGC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:COONEY
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ELATH ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6604
Mailing Address - Country:US
Mailing Address - Phone:845-642-7451
Mailing Address - Fax:
Practice Address - Street 1:150 E 32ND ST STE 101
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6058
Practice Address - Country:US
Practice Address - Phone:212-263-7021
Practice Address - Fax:646-754-2446
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS