Provider Demographics
NPI:1457398778
Name:COHEN, BARRY ALAN (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:ALAN
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151A W END AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4808
Mailing Address - Country:US
Mailing Address - Phone:718-934-1222
Mailing Address - Fax:718-934-0552
Practice Address - Street 1:151A W END AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4808
Practice Address - Country:US
Practice Address - Phone:718-934-1222
Practice Address - Fax:718-934-0552
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166879207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine