Healthcare Provider Details

I. General information

NPI: 1699671610
Provider Name (Legal Business Name): ZOE COHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2026
Last Update Date: 10/16/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW # 411
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

1230 13TH ST NW APT 411
WASHINGTON DC
20005-5133
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-5000
  • Fax:
Mailing address:
  • Phone: 646-763-2002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP1056817
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: