Individual
JASON EVAN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DATES DR FL 3, ITHACA, NY 14850-1342
(607) 319-5747
Mailing address
101 DATES DR FL 3, ITHACA, NY 14850-1342
(607) 319-5747
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
125.066954
IL
208800000X
Urology Physician
Primary
323596
NY
Other
Enumeration date
02/05/2013
Last updated
03/22/2024
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