SearchNew YorkPhysician Assistant

Cooper Hall

NPI 1003780800 · on the registry since 2025

Practice

Address
1 Titus Pl
Walton, NY 13856
Phone
(607) 865-2100
Organisation at this address
Delaware Valley Hospital, Inc
Delaware Valley Hospital, Inc
Catskill Neurosciences And Radiology Assoc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York