Healthcare Provider Details

I. General information

NPI: 1992776439
Provider Name (Legal Business Name): MICHEL ARI COHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 CARROLL ST
BROOKLYN NY
11215-1012
US

IV. Provider business mailing address

454 CARROLL ST
BROOKLYN NY
11215-1012
US

V. Phone/Fax

Practice location:
  • Phone: 646-244-7020
  • Fax:
Mailing address:
  • Phone: 646-244-7020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number192772
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: