| Jeffrey Cohen,d.d.s.,p.c. | |
|
816 Old Rte 17 Harris NY 12742 | |
| (845) 794-4545 | |
| (845) 791-7925 |
| Full Name | Jeffrey Cohen,d.d.s.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 816 Old Rte 17, Harris, New York |
| Authorized Official Name and Position | Jeffrey Cohen (PRESIDENT) |
| Authorized Official Contact | 8457944545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Cohen,d.d.s.,p.c. 816 Old Rte 17 Harris NY 12742 Ph: (845) 794-4545 | Jeffrey Cohen,d.d.s.,p.c. 816 Old Rte 17 Harris NY 12742 Ph: (845) 794-4545 |
| NPI Number | 1144350091 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144350091 | NPI | - | NPPES |
| 00425223 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 034335 (New York) | Primary |