Cohen, Bradley David

Cohen, Bradley David is an individual health care provider with primary practice located at 15 Park Ave , Bay Shore NY 11706-7381. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cohen, Bradley David can be contacted via phone (631) 581-4400.

Contact Information

Primary practice address
15 Park Ave Bay Shore NY 11706-7381
Phone: (631) 581-4400
Fax: (631) 277-3750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 174127 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 174127 New York

Profile Details

NPI number 1104859925
LBN Legal business name Cohen, Bradley David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104859925 NPPES
New York Other 174127 LICENSE
New York MEDICAID 01151486 LICENSE

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