Provider Demographics
NPI:1518228568
Name:COONEY, TRINA I (CDN)
Entity Type:Individual
Prefix:MS
First Name:TRINA
Middle Name:I
Last Name:COONEY
Suffix:
Gender:F
Credentials:CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-2474
Mailing Address - Country:US
Mailing Address - Phone:607-778-2860
Mailing Address - Fax:607-778-2864
Practice Address - Street 1:225 FRONT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-2474
Practice Address - Country:US
Practice Address - Phone:607-778-2860
Practice Address - Fax:607-778-2864
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator