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Individual

BRENDON COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8000
Mailing address
3 SLEEPY HOLLOW CT, LAKE GROVE, NY 11755-2615
(631) 514-9496

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
12/13/2022
Last updated
12/13/2022
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