Individual
MARK COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 SULLYS TRAIL, PITTSFORD, NY 14534
(585) 248-5300
(585) 248-3427
Mailing address
800 CARTER STREET, ATTN KELLY STEELE, ROCHESTER, NY 14621
(585) 339-4793
(585) 336-4845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
167205
NY
208000000X
Pediatrics Physician
Primary
167205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025110001
UNIVERA
NY
05
—
00355266
—
NY
01
—
0193671
IHA
NY
01
—
050613000028
FIDELIS
NY
01
—
101150BL
PREFERRED CARE
NY
01
—
101150DL
PREFERRED CARE
NY
01
—
11121974
CAQH
NY
01
—
2025
SIDNEY HILLMAN
NY
Enumeration date
05/23/2006
Last updated
09/11/2025
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