Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 005736 | NY |
Y | 222Z00000X | Podiatrist | 005736 | NY |
N | 213EP1101X | Primary Podiatric Medicine | 005736 | NY |
N | 213ES0131X | Foot Surgery | 005736 | NY |
NPI | 1063590537 |
---|---|
Provider Name | Dr. Jason Brett Cohen |
First Address | Bronx, NY 10460-4305 |
Second Address | Bronx, NY 10460-4305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 27/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02396445 | (05) | NY |
U95566 | (02) | NY |