1962591701 NPI number — DR. ELLIOT LOUIS COHEN MD

Table of content: DR. ELLIOT LOUIS COHEN MD (NPI 1962591701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962591701 NPI number — DR. ELLIOT LOUIS COHEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COHEN
Provider First Name:
ELLIOT
Provider Middle Name:
LOUIS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962591701
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 STRATTON ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCARSDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10583
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-725-1680
Provider Business Mailing Address Fax Number:
212-744-4539

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DEPARTMENT OF VETERANS AFFAIRS
Provider Second Line Business Practice Location Address:
HUDSON VALLEY HEALTH CARE SYSTEM CASTLE POINT CAMPUS
Provider Business Practice Location Address City Name:
CASTLE POINT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-831-2000
Provider Business Practice Location Address Fax Number:
845-838-5267
Provider Enumeration Date:
10/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  102715 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)