Healthcare Provider Details

I. General information

NPI: 1477866747
Provider Name (Legal Business Name): JENNIFER AMICA COHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER AMICA COHN-GOLDREI MD

II. Dates (important events)

Enumeration Date: 07/15/2010
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

609 DIAMOND ST
SAN FRANCISCO CA
94114-3225
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-8000
  • Fax:
Mailing address:
  • Phone: 718-208-3123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA110257
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA110257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: