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NPI Code Detail

MEDICARE: FREDERIC E COHEN DMD

MEDICARE: FREDERIC E COHEN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry05-0085-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275679763
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERIC E COHEN DMD
Provider Business Mailing Address
First Line : 607 HOWARD AVE
Second Line :
City : WEST HEMPSTEAD
State : NY
Zip : 11552-3115
Country : US
Telephone Number : 516-312-0729
Fax Number :
Provider Business Practice Location Address
First Line : 2814 CLARENDON RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6318
Country : US
Telephone Number : 718-469-0014
Fax Number : 718-469-7551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 01/08/2009

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Directions to “ FREDERIC E COHEN DMD” Practice Location

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