Provider Demographics
NPI:1407942709
Name:COHN, SYMRA A (MD)
Entity Type:Individual
Prefix:DR
First Name:SYMRA
Middle Name:A
Last Name:COHN
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 1:3 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4154
Mailing Address - Country:US
Mailing Address - Phone:212-288-1302
Mailing Address - Fax:212-288-1364
Practice Address - Street 1:3 E 71ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4154
Practice Address - Country:US
Practice Address - Phone:212-288-1302
Practice Address - Fax:212-288-1364
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWCW631Medicare ID - Type Unspecified
NYF78980Medicare UPIN