Provider Demographics
NPI:1780744656
Name:COHEN, STEVEN L (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:COHEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 ROUTE 82
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-7373
Mailing Address - Country:US
Mailing Address - Phone:845-227-6737
Mailing Address - Fax:845-227-6751
Practice Address - Street 1:822 ROUTE 82
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-7373
Practice Address - Country:US
Practice Address - Phone:845-227-6737
Practice Address - Fax:845-227-6751
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT005552-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06448OtherDAVIS VISION
NY160073OtherEYEMED INS.
NY02271887Medicaid
NYC179H1Medicare ID - Type Unspecified
NY02271887Medicaid