Provider Demographics
NPI:1841559218
Name:COHEN MEDICAL PLLC
Entity Type:Organization
Organization Name:COHEN MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NATELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-734-5060
Mailing Address - Street 1:205 E 68TH ST
Mailing Address - Street 2:SUITE T1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5735
Mailing Address - Country:US
Mailing Address - Phone:212-734-5060
Mailing Address - Fax:212-744-7737
Practice Address - Street 1:205 E 68TH ST
Practice Address - Street 2:SUITE T1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5735
Practice Address - Country:US
Practice Address - Phone:212-734-5060
Practice Address - Fax:212-744-7737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237865174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02754158Medicaid
NY02754158Medicaid