Provider Demographics
NPI:1225080096
Name:COHEN, DANIEL H (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:H
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 E MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8415
Mailing Address - Country:US
Mailing Address - Phone:631-666-4767
Mailing Address - Fax:631-665-2153
Practice Address - Street 1:370 E MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8415
Practice Address - Country:US
Practice Address - Phone:631-666-4767
Practice Address - Fax:631-665-2153
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1573162084N0400X
NY157316-12084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01634977Medicaid
NYW6U281Medicare UPIN
NY01634977Medicaid