Provider Demographics
NPI:1518065887
Name:COHEN, JOSEPH K (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:K
Last Name:COHEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3832
Mailing Address - Country:US
Mailing Address - Phone:845-331-3400
Mailing Address - Fax:845-331-3419
Practice Address - Street 1:70 N FRONT ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3832
Practice Address - Country:US
Practice Address - Phone:845-331-3400
Practice Address - Fax:845-331-3419
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002999152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T49193Medicare UPIN
NYA300047007Medicare PIN
NYC95631Medicare ID - Type Unspecified
NY0162190001Medicare NSC