| Oksana Cohen Medical Pc | |
|
9732 63rd Rd Rego Park NY 11374-1639 | |
| (718) 275-9600 | |
| Not Available |
| Full Name | Oksana Cohen Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9732 63rd Rd, Rego Park, New York |
| Authorized Official Name and Position | Oksana Cohen (OWNER) |
| Authorized Official Contact | 9174599516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oksana Cohen Medical Pc 9732 63rd Rd Rego Park NY 11374-1639 Ph: () - | Oksana Cohen Medical Pc 9732 63rd Rd Rego Park NY 11374-1639 Ph: (718) 275-9600 |
| NPI Number | 1740887595 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Medicare PECOS PAC ID | 1658786157 |
|---|---|
| Medicare Enrollment ID | O20210216000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740887595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Isak Isakov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770521775 PECOS PAC ID: 4981683216 Enrollment ID: I20040719001169 |
| Provider Name | Oksana Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043241649 PECOS PAC ID: 1254330145 Enrollment ID: I20061202000094 |
| Provider Name | Irina Kimyagarova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275776650 PECOS PAC ID: 0840411187 Enrollment ID: I20141029002638 |
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