Provider Demographics
NPI:1447617931
Name:COHEN, HANANIA
Entity Type:Individual
Prefix:
First Name:HANANIA
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1273 S ALTON CT
Mailing Address - Street 2:NONE
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2323
Mailing Address - Country:US
Mailing Address - Phone:720-723-1253
Mailing Address - Fax:
Practice Address - Street 1:1273 S ALTON CT
Practice Address - Street 2:NONE
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2323
Practice Address - Country:US
Practice Address - Phone:720-723-1253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2051171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist