Individual
DR. EVAN ROSS COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1975 HYLAN BLVD., UNIT #2, HYLAN DENTAL ARTS, STATEN ISLAND, NY 10306
(347) 733-5275
Mailing address
153 BEACH 126TH ST, APT #2, BELLE HARBOR, NY 11694-1718
(347) 733-5275
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057789
NY
Other
Enumeration date
03/18/2015
Last updated
03/25/2015
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