Individual
ELLIOTT S COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 WASHINGTON STREET, WATERTOWN, NY 13601
(315) 788-2003
(315) 788-7087
Mailing address
PO BOX 91, WATERTOWN, NY 13601
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
002063
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02572907
—
NY
Enumeration date
05/23/2006
Last updated
05/13/2008
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