Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 247365-1 | NY |
Y | 208600000X | Surgeon | 247365-1 | NY |
N | 2082S0105X | Plastic Hand Surgeon | 247365-1 | NY |
NPI | 1962552265 |
---|---|
Provider Name | Dr. Kambiz Jacob Cohen-Kashi |
First Address | Great Neck, NY 11021-5312 |
Second Address | Great Neck, NY 11021-5312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 29/10/2008 |