Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 228201 | NY |
NPI | 1023046968 |
---|---|
Provider Name | Igor E Cohen |
First Address | Astoria, NY 11106-2630 |
Second Address | Astoria, NY 11106-2630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 24/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02533080 | (05) | NY |
I04938 | (02) | NY |