| Frederic E Cohen | |
|
2814 Clarendon Rd Brooklyn NY 11226-6318 | |
| (718) 469-0014 | |
| Not Available |
| Full Name | Frederic E Cohen |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2814 Clarendon Rd, Brooklyn, New York |
| Authorized Official Name and Position | Frederic Ethan Cohen (OWNER) |
| Authorized Official Contact | 7184690014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederic E Cohen 607 Howard Ave West Hempstead NY 11552-3115 Ph: (516) 385-2146 | Frederic E Cohen 2814 Clarendon Rd Brooklyn NY 11226-6318 Ph: (718) 469-0014 |
| NPI Number | 1508140815 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 10/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508140815 | NPI | - | NPPES |
| 02319015 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 05-0085-1 (New York) | Primary |
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