Healthcare Provider Details

I. General information

NPI: 1396765616
Provider Name (Legal Business Name): AMY COHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FAR HORIZONS LN
ASHEVILLE NC
28803-2046
US

IV. Provider business mailing address

100 FAR HORIZONS LN
ASHEVILLE NC
28803-2046
US

V. Phone/Fax

Practice location:
  • Phone: 828-771-2219
  • Fax: 828-771-2634
Mailing address:
  • Phone: 828-771-2219
  • Fax: 828-771-2634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number2008-00684
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2008-00684
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: