# VILLAGE SQUARE HEALTH & MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Square Heatlh & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245318740
- **Authorized official:** FRANK D COHEN DC (ADMINISTRATOR)
- **Authorized official phone:** (516) 759-2032

## Contact information

- **Practice address:** 7 VILLAGE SQUARE, GLEN COVE, NY 11542
- **Practice address phone:** (516) 759-2032
- **Practice address fax:** (516) 759-2117
- **Mailing address:** 7 VILLAGE SQUARE, GLEN COVE, NY 11542
- **Mailing address phone:** (516) 759-2032
- **Mailing address fax:** (516) 759-2117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3702-1 | NY | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 299998-1 | NY | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 10/17/2012