| Dr. Lee S Cohen Associates | |
|
642 East Chester Pike, Ridley Park, PA 19078 | |
| (610) 522-9200 | |
| (610) 522-9478 |
| Full Name | Dr. Lee S Cohen Associates |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 642 East Chester Pike, Ridley Park, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497795843 | NPI | - | NPPES |
| 000707925 | Other | PA | HIGHMARK BLUESHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0000X | Podiatrist - Sports Medicine | SC001567L (Pennsylvania) | Secondary |
| 213E00000X | Podiatrist | SC001567L (Pennsylvania) | Primary |
| Provider Name | Cory R Hawley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275705709 PECOS PAC ID: 8527131093 Enrollment ID: I20080716000308 |
| Provider Name | Lee S Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679516710 PECOS PAC ID: 4789626615 Enrollment ID: I20120718000331 |
| Provider Name | Emily Drew Rose |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093155889 PECOS PAC ID: 5395034219 Enrollment ID: I20160517001053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lee S Cohen Associates 642 East Chester Pike, Ridley Park, PA 19078 Ph: (610) 522-9200 | Dr. Lee S Cohen Associates 642 East Chester Pike, Ridley Park, PA 19078 Ph: (610) 522-9200 |
Dr. Lee S Cohen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 642 E Chester Pike, Ridley Park, PA 19078 Phone: 610-522-9200 Fax: 610-522-9478 |