Organization
DIAMOND DISTRICT CORNEAL, P.C.
Active
Other names
Cohen Eye
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILAN COHEN M.D. (PRESIDENT)
(718) 456-9500
Entity
Organization
Contact information
Practice address
56-50 MYRTLE AVENUE, RIDGEWOOD, NY 11385
(718) 456-9500
Mailing address
56-50 MYRTLE AVENUE, RIDGEWOOD, NY 11385
(718) 456-9500
(718) 497-8762
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426864
—
NY
01
—
DQ1530
RAILROAD MEDICARE GROUP PTAN
NY
01
—
G400008555
MEDICARE INDIVIDUAL PTAN
NY
01
—
P00818737
RAILROAD MEDICARE INDIVIDUAL PTAN
NY
Enumeration date
03/09/2007
Last updated
05/22/2024
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