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Individual

DR. ROBERT W. COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5700 W GENESEE ST, STE. 201, CAMILLUS, NY 13031-3200
(315) 488-5588
(315) 488-2489
Mailing address
5700 W GENESEE ST, STE. 201, CAMILLUS, NY 13031-3200
(315) 488-5588
(315) 488-2489

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
197847
NY
2086S0129X
Vascular Surgery Physician
Primary
197847
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01638742
NY
Enumeration date
05/04/2006
Last updated
12/29/2009
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