Individual
DR. JONATHAN MARC COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-4120
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-4120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02614300
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
057613
NY
Other
Enumeration date
03/06/2013
Last updated
01/21/2021
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