| Bradley Cohen Do Pc | |
|
229 7th St Ste 207 Garden City NY 11530-5766 | |
| (516) 833-3100 | |
| (516) 430-5273 |
| Full Name | Bradley Cohen Do Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 229 7th St Ste 207, Garden City, New York |
| Authorized Official Name and Position | Beth Cohen (OFFICE MANAGER) |
| Authorized Official Contact | 5168333100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Cohen Do Pc 229 7th St Ste 207 Garden City NY 11530-5766 Ph: (516) 833-3100 | Bradley Cohen Do Pc 229 7th St Ste 207 Garden City NY 11530-5766 Ph: (516) 833-3100 |
| NPI Number | 1144325291 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 7719985597 |
|---|---|
| Medicare Enrollment ID | O20061111000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144325291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 205063 (New York) | Primary |
| Provider Name | Bradley J Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558334961 PECOS PAC ID: 0143284091 Enrollment ID: I20041204000154 |
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