Healthcare Provider Details

I. General information

NPI: 1437809027
Provider Name (Legal Business Name): BRIANA NICOLE COHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SQUIRETOWN RD
HAMPTON BAYS NY
11946-2011
US

IV. Provider business mailing address

5 SQUIRETOWN RD
HAMPTON BAYS NY
11946-2011
US

V. Phone/Fax

Practice location:
  • Phone: 631-728-5300
  • Fax: 631-728-5360
Mailing address:
  • Phone: 631-728-5300
  • Fax: 631-728-5360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number341032
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: