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Individual

DEBRA COHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
112 SPENCER ST, MANCHESTER, CT 06040-4601
(860) 432-5600
Mailing address
1438 WESTERN AVE, ALBANY, NY 12203-3421
(513) 238-3150

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009363-1
NY
363A00000X
Physician Assistant
3782
CT

Other

Enumeration date
02/20/2017
Last updated
07/10/2022
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