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NPI Code Detail

MEDICARE: JEAN-MARC COHEN M.D.

MEDICARE:   JEAN-MARC  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
1207ZP0101XAnatomic Pathology Physician184617NY
2207ZC0500XCytopathology Physician184617NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A400061183OTHERNYMEDICARE PIN #2

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649279662
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN-MARC COHEN M.D.
Provider Business Mailing Address
First Line : 1900 HEMPSTEAD TPKE
Second Line : SUITE 500
City : EAST MEADOW
State : NY
Zip : 11554-1702
Country : US
Telephone Number : 516-542-1090
Fax Number : 770-666-9097
Provider Business Practice Location Address
First Line : 10 NATHAN D PERLMAN PLACE
Second Line : SUITE 12S34
City : NEW YORK
State : NY
Zip : 10003-3851
Country : US
Telephone Number : 212-420-2124
Fax Number : 212-420-3449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 06/10/2015

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