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Organization
DIAMOND DISTRICT CORNEAL, P.C.
Active
Organization
DIAMOND DISTRICT CORNEAL, P.C.
Active
Other names
Cohen Eye
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILAN COHEN M.D. (PRESIDENT)
(718) 456-9500
Entity
Organization
Contact information
Practice address
56-50 MYRTLE AVENUE, RIDGEWOOD, NY 11385
(718) 456-9500
Mailing address
56-50 MYRTLE AVENUE, RIDGEWOOD, NY 11385
(718) 456-9500
(718) 497-8762
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426864
—
NY
01
—
DQ1530
RAILROAD MEDICARE GROUP PTAN
NY
01
—
G400008555
MEDICARE INDIVIDUAL PTAN
NY
01
—
P00818737
RAILROAD MEDICARE INDIVIDUAL PTAN
NY
Enumeration date
03/09/2007
Last updated
05/22/2024
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