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NPI Code Detail

MEDICARE: VALERIE COHEN D.O.

MEDICARE: VALERIE COHEN D.O.
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
1208000000XPediatrics Physician260668NY

General Provider Information

NPI Number : 1609023043
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE COHEN D.O.
Provider Business Mailing Address
First Line : 1409 HOLIDAY PARK DR
Second Line :
City : WANTAGH
State : NY
Zip : 11793-2542
Country : US
Telephone Number : 516-804-5784
Fax Number :
Provider Business Practice Location Address
First Line : 2245 JACKSON AVE
Second Line :
City : SEAFORD
State : NY
Zip : 11783-2646
Country : US
Telephone Number : 516-826-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2008
Last Update Date : 07/19/2012

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Directions to “ VALERIE COHEN D.O.” Practice Location

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