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Organization

RAINBOW PEDIATRICS & ADOLESCENT MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID E COHEN M.D (OWNER)
(518) 561-6195
Entity
Organization

Contact information

Practice address
459 MARGARET ST, PLATTSBURGH, NY 12901-4605
(518) 561-6195
Mailing address
459 MARGARET ST, PLATTSBURGH, NY 12901-4605
(518) 561-6195

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00915155
NY
05
01959448
NY
05
02533833
NY
Enumeration date
11/22/2006
Last updated
04/18/2008
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