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Individual

ADAM COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 NORTHERN BLVD, STE 340, GREAT NECK, NY 11021-5341
(516) 775-9090
(516) 775-3080
Mailing address
1000 NORTHERN BLVD, STE 340, GREAT NECK, NY 11021-5341
(516) 482-9090
(516) 775-3080

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
188715
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01975855
NY
Enumeration date
05/23/2007
Last updated
03/13/2019
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