Provider Demographics
NPI:1598944688
Name:COHEN, ROBERT J (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:COHEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 COVERT AVENUE
Mailing Address - Street 2:
Mailing Address - City:STEWART MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:11530
Mailing Address - Country:US
Mailing Address - Phone:516-354-7222
Mailing Address - Fax:516-354-7200
Practice Address - Street 1:72 COVERT AVENUE
Practice Address - Street 2:
Practice Address - City:STEWART MANOR
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-354-7222
Practice Address - Fax:516-354-7200
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002644213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN002644OtherHIP
NYN75088Other1199
NY0038408OtherGHI
P2096859OtherOXFORD HEALTH PLAN
NYP30251OtherBLUE SHIELD
NYP30252OtherBLUE SHIELD
NYP30251OtherBLUE SHIELD
NYA400001329Medicare PIN
P2096859OtherOXFORD HEALTH PLAN
NYN75088Other1199