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EVAN S COOLEY MD
NPI 1619666773
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since May 04, 2023
4900 BROAD RD STE 3, SYRACUSE, NY 13215(315) 492-3429 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan S Cooley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN S COOLEY MD (NPI 1619666773) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1619666773
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN S COOLEYCredential: MD
Location Address4900 BROAD RD STE 3Syracuse, NY 13215-2265
Mailing Address115 Ryans WayOneida, NY 13421-1548 · (315) 416-7527
Phone(315) 492-3429
Sole ProprietorYes
Enumeration DateMay 4, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1619666773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4900 BROAD RD STE 3, Syracuse, NY 13215
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Cooley's NPI number?

The NPI number for Evan Cooley is 1619666773. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Evan Cooley located?

Evan Cooley practices at 4900 Broad Rd Ste 3, Syracuse, NY 13215. The listed phone number is (315) 492-3429.

What is Evan Cooley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Evan Cooley was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.