Provider Demographics
NPI:1104081488
Name:HOWARD-COOPER, STEPHAN (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHAN
Middle Name:
Last Name:HOWARD-COOPER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W END AVE
Mailing Address - Street 2:22A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6340
Mailing Address - Country:US
Mailing Address - Phone:212-674-4699
Mailing Address - Fax:
Practice Address - Street 1:50 GREENE ST
Practice Address - Street 2:2R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2663
Practice Address - Country:US
Practice Address - Phone:212-674-4699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005488111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor