MEDICARE: DR. MARK 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	208VP0014X	Interventional Pain Medicine Physician	322998	NY
2	2084N0400X	Neurology Physician	322998	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	:	1609371145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK COHEN M.D

Provider Business Mailing Address
First Line	:	2279 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3337
Country	:	US
Telephone Number	:	718-998-9890
Fax Number	:	718-998-9891

Provider Business Practice Location Address
First Line	:	2279 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3337
Country	:	US
Telephone Number	:	718-998-9890
Fax Number	:	718-998-9891

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

Provider Enumeration Date	:	03/27/2018
Last Update Date	:	12/17/2025

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