Provider Demographics
NPI:1750445953
Name:SYMRA A. COHN M.D. PC
Entity Type:Organization
Organization Name:SYMRA A. COHN M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SYMRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-288-1302
Mailing Address - Street 1:3 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4154
Mailing Address - Country:US
Mailing Address - Phone:212-288-1302
Mailing Address - Fax:212-288-1364
Practice Address - Street 1:3 E 71ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4154
Practice Address - Country:US
Practice Address - Phone:212-288-1302
Practice Address - Fax:212-288-1364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF78980Medicare UPIN