Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 147904-1 | NY |
N | 208000000X | Pediatrician | 147904-1 | NY |
N | 2084N0402X | Child Neurologist | 147904-1 | NY |
NPI | 1659446532 |
---|---|
Provider Name | Dr. Warren Elliott Cohen |
First Address | Cedarhurst, NY 11516-1422 |
Second Address | Cedarhurst, NY 11516-1422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E96817 | (02) | NY |