Provider Demographics
NPI:1982702452
Name:COHEN, RUTH T (DC)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:T
Last Name:COHEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GLEN COVE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548-1036
Mailing Address - Country:US
Mailing Address - Phone:516-626-9595
Mailing Address - Fax:516-626-1841
Practice Address - Street 1:100 GLEN COVE RD
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1036
Practice Address - Country:US
Practice Address - Phone:516-626-9595
Practice Address - Fax:516-626-1841
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3171111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT52406Medicare UPIN
NYX18751Medicare PIN