National Provider Identifier

Clairice Ann Cooper, MD (AS OF 5/1/09)

Clairice Ann Cooper, MD (AS OF 5/1/09) is listed in the NPPES registry with a primary specialty of Surgery Physician in Buffalo, NY and a listed phone number of (716) 898-5186.

NPI 1134362478Buffalo, NYSurgery Physician

Profile Overview

NPI
1134362478
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
April 16, 2009
Last Updated
July 02, 2014

Practice Location

  • 462 Grider St
  • Dept. Of Surgery - Miller Bldg.
  • Buffalo, NY 14215-3021

Phone: (716) 898-5186

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1134362478
Entity Type
Individual
Last Name
Cooper
First Name
Clairice
Middle Name
Ann
Name Prefix
Mrs.
Credential
MD (AS OF 5/1/09)
Provider Other Last Name
Bakker
Provider Other First Name
Clairice
Provider Other Middle Name
Ann
Provider Other Last Name Type Code
1
Mailing Street Address
462 Grider St
Mailing Address Line 2
Dept. Of Surgery - Miller Bldg.
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 898-5186
Mailing Fax
(716) 898-3194
Practice Street Address
462 Grider St
Practice Address Line 2
Dept. Of Surgery - Miller Bldg.
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-5186
Practice Fax
(716) 898-3194
Enumeration Date
April 16, 2009
Last Updated
July 02, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)