Provider Demographics
NPI:1629044011
Name:COCH, DORRIT ARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:DORRIT
Middle Name:ARIA
Last Name:COCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 MAYFAIR DR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6715
Mailing Address - Country:US
Mailing Address - Phone:718-531-1791
Mailing Address - Fax:718-531-1723
Practice Address - Street 1:4815 14TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3119
Practice Address - Country:US
Practice Address - Phone:718-854-2144
Practice Address - Fax:718-854-1500
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115042174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY642131Medicare ID - Type Unspecified
NYA63605Medicare UPIN