Provider Demographics
NPI:1487082855
Name:COOK, ALAN A III
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:A
Last Name:COOK
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 FRANKLIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-1044
Mailing Address - Country:US
Mailing Address - Phone:585-335-3040
Mailing Address - Fax:585-204-5009
Practice Address - Street 1:53 GENESEE ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:NY
Practice Address - Zip Code:14414-1216
Practice Address - Country:US
Practice Address - Phone:585-226-3040
Practice Address - Fax:732-847-3364
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1017237700000X
DE03-0000236237700000X
NY14000046412237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist