Provider Demographics
NPI:1720366206
Name:COHEN, SAMUEL EVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:EVAN
Last Name:COHEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:150 55TH ST
Mailing Address - Street 2:STATION 12
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2508
Mailing Address - Country:US
Mailing Address - Phone:718-630-6830
Mailing Address - Fax:718-492-5090
Practice Address - Street 1:150 55TH ST
Practice Address - Street 2:STATION 12
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2508
Practice Address - Country:US
Practice Address - Phone:718-630-6830
Practice Address - Fax:718-492-5090
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2014-05-29
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Provider Licenses
StateLicense IDTaxonomies
NY270666207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine