Provider Demographics
NPI:1407916497
Name:COHEN, ALAN A (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:A
Last Name:COHEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4831
Mailing Address - Country:US
Mailing Address - Phone:914-762-3400
Mailing Address - Fax:914-762-8056
Practice Address - Street 1:14 CHURCH ST
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4831
Practice Address - Country:US
Practice Address - Phone:914-762-3400
Practice Address - Fax:914-762-8056
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248561223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00432320Medicaid
NYD78081Medicare ID - Type Unspecified
NYT50144Medicare UPIN