Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 240331 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 242490 | MA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 240331 | NY |
NPI | 1235218918 |
---|---|
Provider Name | Dr. Jeffrey Alan Kohn |
First Address | Staten Island, NY 10314-5882 |
Second Address | Staten Island, NY 10301-3627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 09/12/2011 |