Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 139491 | NY |
NPI | 1104829779 |
---|---|
Provider Name | Daniel H Cohen |
First Address | Hewlett, NY 11557-2321 |
Second Address | Hewlett, NY 11557-2321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 31/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C04490 | (02) | NY |