# DODIS KOHAN, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902077969
- **Authorized official:** DR. DODIS KOHAN M.D. (PRESIDENT)
- **Authorized official phone:** (631) 676-7390

## Contact information

- **Practice address:** 518 HAWKINS AVE, RONKONKOMA, NY 11779-2327
- **Practice address phone:** (631) 676-7390
- **Practice address fax:** (631) 676-7388
- **Mailing address:** 11 DUMBARTON DR, HUNTINGTON, NY 11743-2468
- **Mailing address phone:** (631) 676-7390
- **Mailing address fax:** (631) 676-7388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 148282 | NY | Yes |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 11/19/2009