Provider Demographics
NPI:1881950558
Name:COOPER, SONATA FAITH (MD)
Entity type:Individual
Prefix:DR
First Name:SONATA
Middle Name:FAITH
Last Name:COOPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:250 OLD HOOK RD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3123
Mailing Address - Country:US
Mailing Address - Phone:201-722-1600
Mailing Address - Fax:201-383-1964
Practice Address - Street 1:305 W GRAND AVE STE 301
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1813
Practice Address - Country:US
Practice Address - Phone:201-746-9150
Practice Address - Fax:201-383-1964
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-07
Last Update Date:2023-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY283408207V00000X
NJ25MA11329400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty