Individual
DR. MITCHELL A KOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
276 SMITHTOWN BLVD, NESCONSET, NY 11767-2043
(631) 467-7600
(631) 467-0945
Mailing address
276 SMITHTOWN BLVD, NESCONSET, NY 11767-2043
(631) 467-7600
(631) 467-0945
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004249
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01081474
—
NY
Enumeration date
08/18/2005
Last updated
07/08/2007
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