MEDICARE: DR. DORRIT ARIA COCH 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	174400000X	Specialist	115042	NY

General Provider Information

NPI Number	:	1629044011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORRIT ARIA COCH M.D.

Provider Business Mailing Address
First Line	:	337 MAYFAIR DR N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6715
Country	:	US
Telephone Number	:	718-531-1791
Fax Number	:	718-531-1723

Provider Business Practice Location Address
First Line	:	4815 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3119
Country	:	US
Telephone Number	:	718-854-2144
Fax Number	:	718-854-1500

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	07/08/2007

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