Cohen, Jerald L
Cohen, Jerald L is an sole proprietor health care provider with primary practice located at 120 Mineola Blvd Suite 500, Mineola NY 11501-4073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cohen, Jerald L can be contacted via phone (516) 663-4481.Contact Information
Primary practice address
120 Mineola Blvd Suite 500
Mineola NY 11501-4073
Phone: (516) 663-4481
Fax: (516) 663-2054
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 121214 | New York |
Profile Details
NPI number | 1518953736 |
---|---|
LBN Legal business name | Cohen, Jerald L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 22nd, 2005 |
Last updated | Feb 4th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518953736 | NPPES |
New York | MEDICAID | 02433498 |
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