Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 056127-1 | NY |
Y | 213EG0000X | General Practice | 056127-1 | NY |
NPI | 1003190901 |
---|---|
Provider Name | Jamie Danielle Cohn |
First Address | Glens Falls, NY 12801-2803 |
Second Address | Glens Falls, NY 12801-2803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2011 |
Last Update Date | 04/03/2020 |