Provider Demographics
NPI:1831130483
Name:COHN, DEBRA H (DDS)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:H
Last Name:COHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 MADISON AVE
Mailing Address - Street 2:SUITE 2900
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1101
Mailing Address - Country:US
Mailing Address - Phone:212-557-1300
Mailing Address - Fax:212-557-1675
Practice Address - Street 1:275 MADISON AVE
Practice Address - Street 2:SUITE 2900
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1101
Practice Address - Country:US
Practice Address - Phone:212-557-1300
Practice Address - Fax:212-557-1675
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043955-11223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics