Provider Demographics
NPI:1578568333
Name:COHEN, ALLEN H (OD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:H
Last Name:COHEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:120 CABRINI BLVD
Mailing Address - Street 2:APT 59
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3438
Mailing Address - Country:US
Mailing Address - Phone:646-410-0982
Mailing Address - Fax:646-410-0982
Practice Address - Street 1:120 CABRINI BLVD
Practice Address - Street 2:APT 59
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3438
Practice Address - Country:US
Practice Address - Phone:646-410-0982
Practice Address - Fax:646-410-0982
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2714152W00000X, 152WV0400X
TNOD0000002353152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC4006C0771Medicare PIN
NYT81521Medicare UPIN