Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 260819 | NY |
NPI | 1073679098 |
---|---|
Provider Name | Marc Andrew Cohen |
First Address | New York, NY 10021-5663 |
Second Address | New York, NY 10021-5663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 23/12/2015 |