Provider Demographics
NPI:1811385271
Name:COOPER, WILLIAM CHANDLER (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHANDLER
Last Name:COOPER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TREELINE CIR
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-4303
Mailing Address - Country:US
Mailing Address - Phone:845-401-7947
Mailing Address - Fax:
Practice Address - Street 1:30 TREELINE CIR
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-4303
Practice Address - Country:US
Practice Address - Phone:845-401-7947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor