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Individual

KENNETH ROBERT COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 WESTCHESTER AVE, SUITE 406, WHITE PLAINS, NY 10604-2906
(914) 472-6849
(914) 472-6849
Mailing address
222 WESTCHESTER AVE, SUITE 406, WHITE PLAINS, NY 10604-2906
(914) 472-6849
(914) 472-6849

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
135648
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00580158
NY
01
13-329-1817
IRS
Enumeration date
08/10/2006
Last updated
05/08/2012
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