Healthcare Provider Details

I. General information

NPI: 1063264331
Provider Name (Legal Business Name): ZACHARY ALEXANDER COHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 23RD ST NW
WASHINGTON DC
20037-2342
US

IV. Provider business mailing address

2120 L ST NW STE 600
WASHINGTON DC
20037-1540
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2893
  • Fax:
Mailing address:
  • Phone: 414-931-1101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD600005034
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: