Individual
STEVEN C COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
125 MAIN ST, SUITE 201 HOOKER FULTON BLDG, BRADFORD, PA 16701-2025
(814) 368-7144
(814) 368-7145
Mailing address
125 MAIN ST, SUITE 201 HOOKER FULTON BLDG, BRADFORD, PA 16701-2025
(814) 368-7144
(814) 368-7145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000612
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005539050001
—
PA
01
—
206109
UPMC
PA
01
—
PA04769
VBA
PA
01
—
PA4769
EYEMED
PA
Enumeration date
03/09/2006
Last updated
01/28/2008
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