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Individual

HARRIS COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK, NY 11794-0001
(631) 444-6919
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-6919

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
131038
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00932283
NY
01
4251887
AETNA
NY
01
577S13
EMP B/C B/S
NY
Enumeration date
06/26/2006
Last updated
07/08/2007
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