MEDICARE: DORRIT A COCH MD PC

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	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235431859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORRIT A COCH MD PC

Provider Business Mailing Address
First Line	:	4815 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3119
Country	:	US
Telephone Number	:	718-854-2144
Fax Number	:	718-854-1500

Provider Business Practice Location Address
First Line	:	4815 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3119
Country	:	US
Telephone Number	:	718-854-2144
Fax Number	:	718-854-1500

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DORRIT A COCH
Credential	:	M.D.
Telephone Number	:	718-854-2144

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	12/02/2010

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