Individual
DR. MADELINE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
755 PARK AVE, SUITE 100, HUNTINGTON, NY 11743-3972
(631) 223-0400
(631) 421-2689
Mailing address
19 BARK LN, NORTHPORT, NY 11768-3301
(631) 262-0479
(631) 262-0479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632442
—
NY
Enumeration date
03/17/2006
Last updated
01/22/2015
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