Cohen, Lisa B
Cohen, Lisa B is an individual health care provider with primary practice located at 222 Route 59 Suite #210, Suffern NY 10901-5204. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Cohen, Lisa B can be contacted via phone (845) 369-1540.Contact Information
Primary practice address
222 Route 59 Suite #210
Suffern NY 10901-5204
Phone: (845) 369-1540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 052670 | New York |
Profile Details
| NPI number | 1639320633 |
|---|---|
| LBN Legal business name | Cohen, Lisa B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2008 |
| Last updated | Jul 19th, 2012 - about 13 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 | 1639320633 | NPPES |
| New York | MEDICAID | 01620680 |
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