Healthcare Provider Details

I. General information

NPI: 1710074075
Provider Name (Legal Business Name): DANIEL HAROLD COHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 RAMAPO ROAD DANIEL COHEN MD NORTH ROCKLAND PEDIATRIC ASSOC
GARNERVILLE NY
10923
US

IV. Provider business mailing address

22 SAW MILL RIVER RD 2
HAWTHORNE NY
10532-1549
US

V. Phone/Fax

Practice location:
  • Phone: 845-947-1772
  • Fax: 845-947-4487
Mailing address:
  • Phone: 914-593-1606
  • Fax: 914-593-1790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number130290
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: