Provider Demographics
NPI:1326138785
Name:COHEN, CYNTHIA CERESNEY (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CERESNEY
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 RAMLAND ROAD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-2606
Mailing Address - Country:US
Mailing Address - Phone:914-359-0010
Mailing Address - Fax:845-359-3414
Practice Address - Street 1:30 RAMLAND ROAD
Practice Address - Street 2:SUITE 200A
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962
Practice Address - Country:US
Practice Address - Phone:845-359-0010
Practice Address - Fax:845-359-3414
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202965208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01760049Medicaid