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General NPI Number Information
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NPI Number | 1003467085
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Entity Type | Organization
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Legal Business Name | RONALD B COHEN, MD, PC
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Dates
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Enumeration Date | 09/22/2019
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Last Update Date | 09/22/2019
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Provider Practice Location Address
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Address Line | 29 BARSTOW RD STE 304
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City | GREAT NECK
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State | NY
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Zip | 11021-2209
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Country | US
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Telephone | 516-317-3251
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Fax |
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Provider Business Mailing Address
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Address Line | 259 VISTA DR
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City | JERICHO
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State | NY
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Zip | 11753-2808
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Country | US
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Telephone | 516-317-3251
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD COHEN
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Credential | MD
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Telephone | 516-317-3251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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