MEDICARE: ANDERS J COHEN D.O.

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	207T00000X	Neurological Surgery Physician	217215	NY

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	:	1316967003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDERS J COHEN D.O.

Provider Business Mailing Address
First Line	:	86 SAINT FELIX ST FL 10
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3032
Country	:	US
Telephone Number	:	718-250-8103
Fax Number	:	718-250-6977

Provider Business Practice Location Address
First Line	:	86 SAINT FELIX ST FL 10
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3032
Country	:	US
Telephone Number	:	718-250-8103
Fax Number	:	718-250-6977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/10/2021

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