Provider Demographics
NPI:1083779664
Name:COHEN, ALAN P
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:P
Last Name:COHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ALAN
Other - Middle Name:P
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:50 MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709
Mailing Address - Country:US
Mailing Address - Phone:914-961-3383
Mailing Address - Fax:
Practice Address - Street 1:50 MILL ROAD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709
Practice Address - Country:US
Practice Address - Phone:914-961-3383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0263431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice