Individual
YONATAN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., MS
Contact information
Practice address
8 MEDICAL DR, PORT JEFFERSON STATION, NY 11776-1601
(631) 928-8585
Mailing address
49 FEDERAL LN, CORAM, NY 11727-1619
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058244-1
NY
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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