Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 207004 | NY |
NPI | 1235200189 |
---|---|
Provider Name | Matthew Cohen |
First Address | Westbury, NY 11590-1740 |
Second Address | Manhasset, NY 11030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 12/03/2008 |