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

Evan S Cooley, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619666773

Evan S Cooley, MD is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4900 Broad Rd Ste 3
Syracuse, NY 13215-2265
Phone: (315) 492-3429
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619666773
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2023
Last updated in NPPESMay 4, 2023
Certification dateApril 27, 2023
Mailing address115 Ryans Way, Oneida, NY 13421-1548

Other providers in Syracuse