Individual
DAVID JOEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD STE 105, ROSLYN, NY 11576-1353
(516) 390-9640
Mailing address
160 W 62ND ST APT 22A, NEW YORK, NY 10023-7532
(617) 519-0310
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
2006023527
MO
207RI0011X
Interventional Cardiology Physician
Primary
305164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200388360B
—
KS
01
—
200388360C
MEDICAID - CUSHING
KS
05
—
200388360E
—
KS
05
—
200388360F
—
KS
05
—
204023501
—
MO
01
—
KA1021046
MEDICARE - CUSHING
KS
01
—
P00832501
RAILROAD MEDICARE
KS
01
—
P00842659
RAILROAD MEDICARE
MO
Enumeration date
06/12/2006
Last updated
03/27/2024
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