Provider Demographics
NPI:1477613552
Name:COHN, RONALD NEIL
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:NEIL
Last Name:COHN
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 1:10 ANDREA LN
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-2902
Mailing Address - Country:US
Mailing Address - Phone:631-368-2818
Mailing Address - Fax:631-266-3948
Practice Address - Street 1:10 ANDREA LN
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-2902
Practice Address - Country:US
Practice Address - Phone:631-368-2818
Practice Address - Fax:631-266-3948
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
NY628911207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC11599Medicare UPIN