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Individual

ROY B COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2 W 47TH ST FL 2, NEW YORK, NY 10036-3319
(212) 719-4000
Mailing address
105 ELM LN, NEW HYDE PARK, NY 11040-2405
(516) 747-2082

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004271
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07386G
GHI MEDICARE
NY
Enumeration date
07/12/2006
Last updated
10/23/2007
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