Provider Demographics
NPI:1760452155
Name:COHEN, GARY LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:LEIGH
Last Name:COHEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:45 PINE ST
Mailing Address - Street 2:1ST MEDICAL GROUP
Mailing Address - City:LANGLEY AFB
Mailing Address - State:VA
Mailing Address - Zip Code:23665-2025
Mailing Address - Country:US
Mailing Address - Phone:757-764-9534
Mailing Address - Fax:757-764-6914
Practice Address - Street 1:45 PINE ST
Practice Address - Street 2:1ST MEDICAL GROUP
Practice Address - City:LANGLEY AFB
Practice Address - State:VA
Practice Address - Zip Code:23665-2025
Practice Address - Country:US
Practice Address - Phone:757-764-9534
Practice Address - Fax:757-764-6914
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY175518207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology