Healthcare Provider Details

I. General information

NPI: 1932377405
Provider Name (Legal Business Name): SEYMOUR M. COHEN, M.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2008
Last Update Date: 02/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 5TH AVE APT. 1A
NEW YORK NY
10128-0724
US

IV. Provider business mailing address

1150 5TH AVE APT. 1A
NEW YORK NY
10128-0724
US

V. Phone/Fax

Practice location:
  • Phone: 212-288-6752
  • Fax:
Mailing address:
  • Phone: 212-288-6752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number091494
License Number StateNY

VIII. Authorized Official

Name: SEYMOUR M. COHEN
Title or Position: OWNER
Credential: MD
Phone: 212-288-6752