MEDICARE: DR. MARTIN COHEN MD

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
1	207RC0000X	Cardiovascular Disease Physician	148885	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	060023556	OTHER	NY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	75D763K223	OTHER	NY	PTAN
4	75D763K222	OTHER	NY	PTAN
5	75D763K221	OTHER	NY	PTAN

General Provider Information

NPI Number	:	1437152618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN COHEN MD

Provider Business Mailing Address
First Line	:	19 BRADHURST AVE STE 3100N
Second Line	:
City	:	HAWTHORNE
State	:	NY
Zip	:	10532-2140
Country	:	US
Telephone Number	:	914-909-9018
Fax Number	:	914-909-9028

Provider Business Practice Location Address
First Line	:	19 BRADHURST AVE
Second Line	:	STE 3850S
City	:	HAWTHORNE
State	:	NY
Zip	:	10532-2140
Country	:	US
Telephone Number	:	914-909-6900
Fax Number	:	914-493-2828

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/23/2016

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Directions to “ DR. MARTIN COHEN MD” Practice Location

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