MEDICARE: ALAN B. KOHN, D.D.S., P.C.

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	122300000X	Dentist	034390-1	NY

General Provider Information

NPI Number	:	1366606402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN B. KOHN, D.D.S., P.C.

Provider Business Mailing Address
First Line	:	800 OCEAN PKWY
Second Line	:	STE. AA
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2185
Country	:	US
Telephone Number	:	718-633-4963
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 OCEAN PKWY
Second Line	:	STE. AA
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2185
Country	:	US
Telephone Number	:	718-633-4963
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. ALAN B. KOHN
Credential	:	D.D.S.
Telephone Number	:	718-633-4963

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	07/17/2008

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