Provider Demographics
NPI:1144410036
Name:COHN, GARY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:E
Last Name:COHN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 BEDFORD CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-2529
Mailing Address - Country:US
Mailing Address - Phone:914-234-6400
Mailing Address - Fax:
Practice Address - Street 1:509 BEDFORD CENTER RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-2529
Practice Address - Country:US
Practice Address - Phone:914-234-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36457122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist