Provider Demographics
NPI:1245313493
Name:COHEN, ELIN R (MD)
Entity type:Individual
Prefix:DR
First Name:ELIN
Middle Name:R
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELLEN
Other - Middle Name:R
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:CT
Mailing Address - Zip Code:06612
Mailing Address - Country:US
Mailing Address - Phone:203-261-2019
Mailing Address - Fax:
Practice Address - Street 1:4 GOODHILL RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:CT
Practice Address - Zip Code:06883
Practice Address - Country:US
Practice Address - Phone:203-226-3035
Practice Address - Fax:203-221-1736
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT037492208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics