Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Clairice Ann Cooper, MDASOF5/1/09

Individual provider Surgery Physician · NPI 1134362478

Mrs. Clairice Ann Cooper, MDASOF5/1/09 is a General Surgery in Buffalo, New York. Graduated from State University of New York at Buffalo School of Medicine in 2009, 17 years ago. Practices with Kaleida Health, a 214-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

462 Grider St Dept OF Surgery - Miller Bldg
Buffalo, NY 14215-3021
Phone: (716) 898-5186
Fax: (716) 898-3194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 275399 (NY)

Record details

NPI number1134362478
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDASOF5/1/09
Sole proprietorNo
NPI enumeratedApril 16, 2009
Last updated in NPPESJuly 2, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Kaleida Health — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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