Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 259763 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 259763 | NY |
NPI | 1013181890 |
---|---|
Provider Name | Dr. Randy Marc Cohn |
First Address | Garden City, NY 11530 |
Second Address | Garden City, NY 11530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 01/05/2015 |