Healthcare Provider Details

I. General information

NPI: 1235093998
Provider Name (Legal Business Name): MIDWOOD COHEN DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 AVENUE H APT 1C
BROOKLYN NY
11210-3216
US

IV. Provider business mailing address

353 ELM ST
WEST HEMPSTEAD NY
11552-3224
US

V. Phone/Fax

Practice location:
  • Phone: 516-503-4351
  • Fax:
Mailing address:
  • Phone: 516-503-4351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: FREDERIC COHEN
Title or Position: OWNER
Credential: DMD
Phone: 516-503-4351