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NPI Code Detail

MEDICARE: ANDREW COHN DMS, PA-C, NRP

MEDICARE:   ANDREW  COHN  DMS, PA-C, NRP
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
1363A00000XPhysician Assistant7178CT
2363AS0400XSurgical Physician Assistant
3363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1467296913
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW COHN DMS, PA-C, NRP
Provider Business Mailing Address
First Line : 84 GALLOWS HILL RD
Second Line :
City : REDDING
State : CT
Zip : 06896-1409
Country : US
Telephone Number : 203-461-5747
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 203-461-5747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2024
Last Update Date : 05/05/2026

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Directions to “ ANDREW COHN DMS, PA-C, NRP” Practice Location

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