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General NPI Number Information
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NPI Number | 1144350091
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Entity Type | Organization
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Legal Business Name | JEFFREY COHEN,D.D.S.,P.C.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 816 OLD RTE 17
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City | HARRIS
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State | NY
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Zip | 12742
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Country | US
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Telephone | 845-794-4545
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Fax | 845-791-7925
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Provider Business Mailing Address
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Address Line | 816 OLD RTE 17
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City | HARRIS
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State | NY
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Zip | 12742
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Country | US
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Telephone | 845-794-4545
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Fax | 845-791-7925
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY COHEN
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Credential | D.D.S.
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Telephone | 845-794-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 034335
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License Number State | NY
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