Provider Demographics
NPI:1750547907
Name:CLAUDIA M. COOKE, MD, PLLC
Entity type:Organization
Organization Name:CLAUDIA M. COOKE, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-213-0288
Mailing Address - Street 1:35A EAST 35TH STREET
Mailing Address - Street 2:206
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3826
Mailing Address - Country:US
Mailing Address - Phone:212-213-0288
Mailing Address - Fax:212-213-0244
Practice Address - Street 1:35A E 35TH STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3826
Practice Address - Country:US
Practice Address - Phone:212-213-0288
Practice Address - Fax:212-213-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA177212-1261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100000477Medicare PIN