Provider Demographics
NPI:1952010670
Name:COHEN CONCIERGE, PLLC
Entity Type:Organization
Organization Name:COHEN CONCIERGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-980-5892
Mailing Address - Street 1:12250 TAMIAMI TRL E STE 208
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8421
Mailing Address - Country:US
Mailing Address - Phone:239-980-5892
Mailing Address - Fax:833-471-4783
Practice Address - Street 1:12250 TAMIAMI TRL E STE 208
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8421
Practice Address - Country:US
Practice Address - Phone:239-980-5892
Practice Address - Fax:833-471-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty