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Individual

DR. LAWRENCE MARC COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
210 E SUNRISE HWY, SUITE 303, VALLEY STREAM, NY 11581-1329
(516) 561-2102
(516) 568-9485
Mailing address
210 E SUNRISE HWY, SUITE 303, VALLEY STREAM, NY 11581-1329
(516) 561-2102
(516) 568-9485

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N2839
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00403838
NY
Enumeration date
02/01/2007
Last updated
03/14/2012
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