Individual
ATARA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13525 79TH ST, HOWARD BEACH, NY 11414-1010
(347) 834-7361
Mailing address
1418 HARBOUR CT, FAR ROCKAWAY, NY 11691-1635
(347) 834-7361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021189
NY
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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