Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV006111-1 | NY |
NPI | 1013085463 |
---|---|
Provider Name | Dr. Nadine Amy Cohen |
First Address | Little Neck, NY 11362-2211 |
Second Address | Bayside, NY 11360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2006 |
Last Update Date | 27/09/2013 |