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General NPI Number Information
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NPI Number | 1619956752
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Entity Type | Organization
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Legal Business Name | PAUL COHEN MD PC
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 1310 PRESIDENT ST
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City | BROOKLYN
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State | NY
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Zip | 11213-4238
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Country | US
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Telephone | 718-221-0415
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Fax | 516-795-6327
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Provider Business Mailing Address
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Address Line | 72 KINGS WALK
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-3906
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Country | US
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Telephone | 516-795-6327
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Fax | 516-799-3597
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Authorized Official
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Title or Position | SOLE PRIOPRIETER
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Name | PAUL H COHEN
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Credential | MD
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Telephone | 516-795-6327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 179062
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License Number State | NY
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