Provider Demographics
NPI:1376582361
Name:COHEN, DANA G (MD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:G
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 W 74TH ST
Mailing Address - Street 2:APT. 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2403
Mailing Address - Country:US
Mailing Address - Phone:212-787-1877
Mailing Address - Fax:212-787-1667
Practice Address - Street 1:10 W 74TH ST
Practice Address - Street 2:APT. 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2403
Practice Address - Country:US
Practice Address - Phone:212-787-1877
Practice Address - Fax:212-787-1667
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA224153207R00000X
NY211593207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine