Cohen, Ilan
Cohen, Ilan is an individual health care provider with primary practice located at 5650 Myrtle Avenue , Ridgewood NY 11385-1138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cohen, Ilan can be contacted via phone (718) 456-9500.Contact Information
Primary practice address
5650 Myrtle Avenue
Ridgewood NY 11385-1138
Phone: (718) 456-9500
Fax: (718) 497-8762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA072656 | New Jersey |
Profile Details
| NPI number | 1649374802 |
|---|---|
| LBN Legal business name | Cohen, Ilan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | May 22nd, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649374802 | NPPES |
| New Jersey | MEDICAID | 8550107 |
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