Individual
DR. EZRA M COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
372 AVENUE U, BROOKLYN, NY 11223-4018
(718) 946-5060
(718) 946-5161
Mailing address
372 AVENUE U, BROOKLYN, NY 11223-4018
(718) 946-5060
(718) 946-5161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003854-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00503255
—
NY
Enumeration date
08/09/2005
Last updated
12/13/2007
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