Cohen, Leslie
Cohen, Leslie is an sole proprietor health care provider with primary practice located at 186 Broadway , Port Ewen NY 12466-7707. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cohen, Leslie can be contacted via phone (845) 331-9150.Contact Information
Primary practice address
186 Broadway
Port Ewen NY 12466-7707
Phone: (845) 331-9150
Fax: (845) 331-8846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 040434-1 | New York |
Profile Details
| NPI number | 1801870241 |
|---|---|
| LBN Legal business name | Cohen, Leslie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jun 19th, 2020 - about 5 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 | 1801870241 | NPPES |
| New York | MEDICAID | 00989482 |
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