Individual
DR. STEPHEN MARK COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
739 IRVING AVE, SUITE 530, SYRACUSE, NY 13210-1651
(315) 478-1158
(315) 478-3014
Mailing address
739 IRVING AVE, SUITE 530, SYRACUSE, NY 13210-1651
(315) 478-1158
(315) 478-3014
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
209563-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872504
—
NY
Enumeration date
08/15/2005
Last updated
12/28/2017
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