MEDICARE: DR. STEVEN IRVIN COHEN M.D.

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	208800000X	Urology Physician	RI5102	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	340008043	OTHER	RI	RAILROAD MEDICARE
11	3490011061	OTHER	RI	MEDICARE PTAN
12	349005986	OTHER	RI	MEDICARE GROUP PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10059	OTHER	RI	NEIGHBORHOOD HEALTH PLAN
2	27125	OTHER	RI	HARVARD PILGRIM HEALTH CA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	005102	OTHER	RI	TUFTS
5	0004673110	OTHER	RI	AETNA
6	000476	OTHER	RI	BLUE CHIP
7	0415093	OTHER	RI	CIGNA
9	1900145	OTHER	RI	UNITED HEALTH CARE
10	25692	OTHER	RI	BLUE CROSS BLUE SHIELD RI

General Provider Information

NPI Number	:	1578521183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN IRVIN COHEN M.D.

Provider Business Mailing Address
First Line	:	195 COLLYER ST STE 201
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-1869
Country	:	US
Telephone Number	:	401-272-7799
Fax Number	:	401-272-9299

Provider Business Practice Location Address
First Line	:	195 COLLYER ST STE 201
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-1869
Country	:	US
Telephone Number	:	401-272-7799
Fax Number	:	401-272-9299

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	10/31/2011

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