Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN KEITH COOK, DPM
Active Sole ProprietorIAN KEITH COOK, DPM is a Podiatrist healthcare provider located in ROOSEVELT, New York. NPI 1295836245 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · ROOSEVELT, NY
Registration Details
- NPI Number
- 1295836245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2006 (19.890976523977 yrs)
- Last Updated
- Feb 10, 2026
- Licenses
-
005172 (NY)1058 (VI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 W RAYMOND AVEROOSEVELT, NY, 115751014Browse NY providers · Browse ZIP 11575
- Phone
- 3407138397
- Fax
- 3407195103
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.