Provider Demographics
NPI:1174571251
Name:COOKE, CLAUDIA M (MD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:M
Last Name:COOKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 EAST 85TH ST.
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6321
Mailing Address - Country:US
Mailing Address - Phone:212-396-4578
Mailing Address - Fax:
Practice Address - Street 1:35A EAST 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177212207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE62436Medicare UPIN
NYA400004009Medicare PIN