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Individual

DR. LISA B COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
222 ROUTE 59, SUITE #210, SUFFERN, NY 10901-5204
(845) 369-1540
Mailing address
222 ROUTE 59, SUITE #210, SUFFERN, NY 10901-5204
(845) 369-1540

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
052670
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01620680
NY
Enumeration date
10/08/2008
Last updated
07/19/2012
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