Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 161564-1 | NY |
NPI | 1003929043 |
---|---|
Provider Name | Dr. Charmian Darryl Cohen |
First Address | Bronx, NY 10461-0367 |
Second Address | Bronx, NY 10461-0367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 30/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00959059 | (05) | NY |
A64400 | (02) | NY |