Provider Demographics
NPI:1124202577
Name:ROBERT F COHEN CPO
Entity Type:Organization
Organization Name:ROBERT F COHEN CPO
Other - Org Name:ALLIED ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:718-789-0996
Mailing Address - Street 1:10540 ROCKAWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2304
Mailing Address - Country:US
Mailing Address - Phone:718-789-0996
Mailing Address - Fax:718-789-3716
Practice Address - Street 1:10540 ROCKAWAY BLVD
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-2304
Practice Address - Country:US
Practice Address - Phone:718-789-0996
Practice Address - Fax:718-789-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP&O-850335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0133240001Medicare NSC