Healthcare Provider Details

I. General information

NPI: 1942264825
Provider Name (Legal Business Name): DAVID E COHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 MARGARET ST
PLATTSBURGH NY
12901-4605
US

IV. Provider business mailing address

459 MARGARET ST
PLATTSBURGH NY
12901-4605
US

V. Phone/Fax

Practice location:
  • Phone: 518-561-4270
  • Fax: 518-566-7535
Mailing address:
  • Phone: 518-561-6195
  • Fax: 518-566-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number162169
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number162169
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: