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Organization

NYS OFFICE OF CHILDREN AND FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL DAVID COHEN MD (MEDICAL DIRECTOR)
(518) 474-9560
Entity
Organization

Contact information

Practice address
52 WASHINGTON ST, RM 122 NORTH, RENSSELAER, NY 12144-2834
(518) 474-9560
(518) 486-7099
Mailing address
52 WASHINGTON ST, RM 122 NORTH, RENSSELAER, NY 12144-2834
(518) 474-9560
(518) 486-7099

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
05/11/2007
Last updated
08/22/2020
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