Individual
FREDERIC E COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2814 CLARENDON RD, BROOKLYN, NY 11226-6318
(718) 469-0014
(718) 469-7551
Mailing address
607 HOWARD AVE, WEST HEMPSTEAD, NY 11552-3115
(516) 312-0729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05-0085-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02319015
—
NY
Enumeration date
01/30/2007
Last updated
01/08/2009
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