Provider Demographics
NPI:1598823338
Name:COHEN, LES HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:LES
Middle Name:HOWARD
Last Name:COHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 S MILITARY TRL
Mailing Address - Street 2:SUITE 34
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-7510
Mailing Address - Country:US
Mailing Address - Phone:561-439-2550
Mailing Address - Fax:561-439-2992
Practice Address - Street 1:2601 S MILITARY TRL STE 34
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7513
Practice Address - Country:US
Practice Address - Phone:561-439-2550
Practice Address - Fax:561-439-2992
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88557Medicare ID - Type Unspecified
FLT88871Medicare UPIN