Jacob Leib Cooper, LCSW Valid NPI
Individual provider · Clinical Social Worker · Copiague, NY
- NPI
- 1386259190
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 089558 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-09-09
- Last updated
- 2020-09-09
Practice location
445 Oak St
Copiague, NY 11726-3111
(718) 845-2621