Healthcare Provider Details

I. General information

NPI: 1821797663
Provider Name (Legal Business Name): ORLY COHEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8271 CORNELL RD STE 730
CINCINNATI OH
45249-2291
US

IV. Provider business mailing address

8271 CORNELL RD STE 730
CINCINNATI OH
45249-2291
US

V. Phone/Fax

Practice location:
  • Phone: 513-616-2998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberLE-00045118
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: