MEDICARE: DR. JASON ARI 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	207ZD0900X	Dermatopathology (Pathology) Physician	228809-1	NY
2	207ZP0101X	Anatomic Pathology Physician	228809-1	NY

General Provider Information

NPI Number	:	1841302908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON ARI COHEN M.D.

Provider Business Mailing Address
First Line	:	1133 WESTCHESTER AVE STE 331
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3516
Country	:	US
Telephone Number	:	914-934-5810
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 WESTCHESTER AVE STE 331
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3516
Country	:	US
Telephone Number	:	914-934-5810
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/11/2021

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