Individual
DR. MARTIN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE 3850S, HAWTHORNE, NY 10532-2140
(914) 909-6900
(914) 493-2828
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
148885
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00986594
—
NY
01
—
060023556
RAIL ROAD MEDICARE
NY
01
—
75D763K221
PTAN
NY
01
—
75D763K222
PTAN
NY
01
—
75D763K223
PTAN
NY
Enumeration date
05/23/2005
Last updated
11/23/2016
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