Healthcare Provider Details

I. General information

NPI: 1396752697
Provider Name (Legal Business Name): ARLENE F. KOHN D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 01/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BETHPAGE RD STE 306
HICKSVILLE NY
11801-1515
US

IV. Provider business mailing address

120 BETHPAGE RD STE 306
HICKSVILLE NY
11801-1515
US

V. Phone/Fax

Practice location:
  • Phone: 516-938-6000
  • Fax: 516-938-6629
Mailing address:
  • Phone: 516-938-6000
  • Fax: 516-938-6629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN005131
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: