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General NPI Number Information
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NPI Number | 1144325291
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Entity Type | Organization
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Legal Business Name | BRADLEY COHEN DO PC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 229 7TH ST STE 207
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City | GARDEN CITY
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State | NY
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Zip | 11530-5766
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Country | US
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Telephone | 516-833-3100
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Fax | 516-430-5273
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Provider Business Mailing Address
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Address Line | 229 7TH ST STE 207
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City | GARDEN CITY
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State | NY
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Zip | 11530-5766
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Country | US
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Telephone | 516-833-3100
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Fax | 516-430-5273
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BETH COHEN
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Credential |
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Telephone | 516-833-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 205063
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License Number State | NY
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