Provider Demographics
NPI:1972693877
Name:COHEN, MARTIN N (MD)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:N
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 1:37 MOHEGAN LN
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1431
Mailing Address - Country:US
Mailing Address - Phone:718-904-2927
Mailing Address - Fax:718-904-2675
Practice Address - Street 1:1628 EASTCHESTER RD
Practice Address - Street 2:WEILER CARDIOLOGY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2663
Practice Address - Country:US
Practice Address - Phone:646-670-5120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098587207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease