MEDICARE: MIDWOOD COHEN DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1235093998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWOOD COHEN DENTAL PLLC

Provider Business Mailing Address
First Line	:	353 ELM ST
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-3224
Country	:	US
Telephone Number	:	516-503-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	3215 AVENUE H APT 1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3216
Country	:	US
Telephone Number	:	516-503-4351
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FREDERIC COHEN
Credential	:	DMD
Telephone Number	:	516-503-4351

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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