Individual
FRED COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6097
(718) 920-8375
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6097
(718) 920-8375
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
303461
NY
Other
Enumeration date
07/17/2018
Last updated
06/24/2022
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