Sonia Anita Cooke, LPN

Individual provider Active NPI Licensed Practical Nurse · Cortlandt Manor, NY

NPI 1992089213 · NPPES record last updated Oct 5, 2011

Key facts

NPI
1992089213
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
306293-1 (NY)
Practice address
291 Lafayette Ave
PH
Cortlandt Manor, NY 10567-6703
Phone
(914) 788-5062
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
306293-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 306293-1 NY Yes

Addresses

Primary practice location

291 Lafayette Ave
PH
Cortlandt Manor, NY 10567-6703

Mailing address

291 Lafayette Ave
PH
Cortlandt Manor, NY 10567-6703
Phone (914) 788-5062

Other providers in Cortlandt Manor, NY

All providers in Cortlandt Manor, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.