Organization
BAY SHORE PHYSICAL MEDICINE &REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN LAWRENCE COHEN M.D. (PRESIDENT)
(631) 665-4448
Entity
Organization
Contact information
Practice address
41 SAXON AVE, BAY SHORE, NY 11706-7021
(631) 665-4448
Mailing address
41 SAXON AVE, BAY SHORE, NY 11706-7021
(631) 665-4448
(631) 665-4449
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
157502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00889652
—
NY
Enumeration date
12/13/2006
Last updated
08/22/2013
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