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General NPI Number Information
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NPI Number | 1356126411
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Entity Type | Organization
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Legal Business Name | COHN PLASTIC SURGERY, PC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 2 BROOKSITE DR
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City | SMITHTOWN
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State | NY
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Zip | 11787-3492
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Country | US
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Telephone | 516-270-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BROOKSITE DR
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City | SMITHTOWN
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State | NY
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Zip | 11787-3492
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JASON ERIC COHN
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Credential | DO
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Telephone | 516-270-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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