Provider Demographics
NPI:1881732758
Name:COHEN, ZEV MARK (MD)
Entity type:Individual
Prefix:DR
First Name:ZEV
Middle Name:MARK
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 1:259 N MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1220
Mailing Address - Country:US
Mailing Address - Phone:845-624-7200
Mailing Address - Fax:845-624-3304
Practice Address - Street 1:259 N MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-1220
Practice Address - Country:US
Practice Address - Phone:845-624-7200
Practice Address - Fax:845-624-3304
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108744-1207Q00000X
NY180744-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAETNA - USHCOther2424660
NY180744OtherLICENSE
NY40 F 351OtherEMPIRE BCBS
NY362821OtherTACONIC MVP
NYP2100199OtherOXFORD
NYP2100199OtherOXFORD
NYAETNA - USHCOther2424660
NYE-18456Medicare UPIN