Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cooper R Bush

Individual provider Case Manager/Care Coordinator · NPI 1891664801

Cooper R Bush is a Case Manager/Care Coordinator in Watertown, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

650 State St
Watertown, NY 13601-2839
Phone: (315) 755-1251
Fax: (315) 291-6601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1891664801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address324 County Route 51 Bldg 1, Malone, NY 12953-4502

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