Provider Demographics
NPI:1780222588
Name:KOHN, ARIEL BELEK (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ARIEL
Middle Name:BELEK
Last Name:KOHN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:AREIEL
Other - Middle Name:ELIZABETH
Other - Last Name:KOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:120 MAIN ST FL 4
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7834
Mailing Address - Country:US
Mailing Address - Phone:203-743-9760
Mailing Address - Fax:203-743-3411
Practice Address - Street 1:120 MAIN ST FL 4
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7834
Practice Address - Country:US
Practice Address - Phone:203-743-9760
Practice Address - Fax:203-743-3411
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8559363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily