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: 08/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 WARREN ST
NEW YORK NY
10007-0025
US

IV. Provider business mailing address

46 WARREN ST
NEW YORK NY
10007-0025
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-7666
  • Fax: 212-202-7988
Mailing address:
  • Phone: 212-226-7666
  • Fax: 212-202-7988

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: