Organization
COHEN DENTAL PC
Active
Other names
Hudson Valley Dentist 4U
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE COHEN DDS (PRESIDENT)
(917) 416-3681
Entity
Organization
Contact information
Practice address
186 BROADWAY, PORT EWEN, NY 12466-7707
(845) 331-9150
(718) 851-0240
Mailing address
85 POMONA RD, SUFFERN, NY 10901-1919
(917) 416-3681
(845) 331-8846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040434-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00989482
—
NY
Enumeration date
02/11/2007
Last updated
06/21/2020
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