Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 103006 | NY |
N | 111NI0900X | Internist | 103006 | NY |
N | 207RA0201X | Internist - Allergy & Immunology | 103006 | NY |
NPI | 1881785202 |
---|---|
Provider Name | Michael Henry Cohen |
First Address | Tarrytown, NY 10591 |
Second Address | New York City, NY 10032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C12146 | (02) |