Individual
MRS. JEAN ELLEN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7313 HIGHBRIDGE RD, FAYETTEVILLE, NY 13066-9779
(315) 637-2225
(315) 637-4308
Mailing address
7313 HIGHBRIDGE RD, FAYETTEVILLE, NY 13066-9779
(315) 637-2225
(315) 637-4308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0025671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C025678
WC
—
Enumeration date
02/23/2007
Last updated
07/08/2007
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