MEDICARE: DR. STEVEN L. COHN M.D.

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	207R00000X	Internal Medicine Physician	ME110720	FL
2	207R00000X	Internal Medicine Physician	139889	NY

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

General Provider Information

NPI Number	:	1780678862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN L. COHN M.D.

Provider Business Mailing Address
First Line	:	1611 NW 12TH AVE
Second Line	:	PO BOX 016960 (M851)
City	:	MIAMI
State	:	FL
Zip	:	33136-1005
Country	:	US
Telephone Number	:	305-243-7688
Fax Number	:	305-243-1960

Provider Business Practice Location Address
First Line	:	1475 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1002
Country	:	US
Telephone Number	:	305-243-1960
Fax Number	:	305-243-1960

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	12/19/2011

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