Provider Demographics
NPI:1437366382
Name:KOHEN, ANNA D (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:D
Last Name:KOHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E 63RD ST
Mailing Address - Street 2:#1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-7334
Mailing Address - Country:US
Mailing Address - Phone:121-275-1775
Mailing Address - Fax:121-275-1778
Practice Address - Street 1:130 E 63RD ST
Practice Address - Street 2:#1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-7334
Practice Address - Country:US
Practice Address - Phone:121-275-1775
Practice Address - Fax:121-275-1778
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0324661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice