Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 131037 | NY |
NPI | 1013994839 |
---|---|
Provider Name | David Leon Cohen |
First Address | Hewlett, NY 11557-1665 |
Second Address | Hewlett, NY 11557-1665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 06/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00339693 | (05) | NY |
D46806 | (02) |