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
Fax: (516) 663-2054
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518953736 NPPES
New York MEDICAID 02433498

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