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NPI Code Detail

MEDICARE: MICHAEL J COHEN D.C.

MEDICARE: MICHAEL J COHEN D.C.
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
1111N00000XChiropractorMC04197NJ

General Provider Information

NPI Number : 1740354240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J COHEN D.C.
Provider Business Mailing Address
First Line : 24-26 FAIR LAWN AVE
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-3401
Country : US
Telephone Number : 201-796-0101
Fax Number : 201-796-8220
Provider Business Practice Location Address
First Line : 24-26 FAIR LAWN AVE
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-3401
Country : US
Telephone Number : 201-796-0101
Fax Number : 201-796-8220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 09/20/2007

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