MEDICARE: LESTER COHEN C.R.N.P.

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	363L00000X	Nurse Practitioner	SP001023B	PA

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	:	1497758965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESTER COHEN C.R.N.P.

Provider Business Mailing Address
First Line	:	4700 WISSAHICKON AVE
Second Line	:	SUITE 118
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4248
Country	:	US
Telephone Number	:	267-597-3600
Fax Number	:	267-597-3622

Provider Business Practice Location Address
First Line	:	6120-B WOODLAND AVENUE
Second Line	:	2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142
Country	:	US
Telephone Number	:	215-727-4721
Fax Number	:

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	04/28/2010

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Directions to “ LESTER COHEN C.R.N.P.” Practice Location

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