Individual
DR. JASON P COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 READE PL STE 3200, POUGHKEEPSIE, NY 12601-3944
(845) 471-4086
(845) 471-8296
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
142895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00132198
RAILROAD MEDICARE
NY
Enumeration date
08/30/2006
Last updated
04/02/2019
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