Provider Demographics
NPI:1740367812
Name:COOPER, MARIFRANCES K (NP)
Entity type:Individual
Prefix:
First Name:MARIFRANCES
Middle Name:K
Last Name:COOPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 ALEXANDER ST
Mailing Address - Street 2:STE 602
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-4008
Mailing Address - Country:US
Mailing Address - Phone:585-922-8585
Mailing Address - Fax:585-922-8555
Practice Address - Street 1:220 ALEXANDER ST
Practice Address - Street 2:STE 602
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-4008
Practice Address - Country:US
Practice Address - Phone:585-922-8585
Practice Address - Fax:585-922-8555
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY420281363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDD6380Medicare ID - Type Unspecified
NYS88416Medicare UPIN