Bradley David Cohen in Bay Shore - Surgery

Bradley David Cohen - NPI 1104859925

Bradley David Cohen is a Surgery in Bay Shore, New York. Bradley David Cohen practices all healthcare services and medical treatments related to Surgery. The NPI Number for Bradley David Cohen is 1104859925. The last update date is 2021-04-12.

Bradley David Cohen's current location address is 15 Park Ave, Bay Shore, New York. You can contact this provider via phone number 6315814400 and fax number 6312773750. The mailing address for Bradley David Cohen is 15 Park Ave, Bay Shore, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley David Cohen
Address 15 Park Ave, Bay Shore, New York
Phone Number 6315814400
Fax Number 6312773750
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104859925
Provider Enumeration Date 2006-07-07
Last Updated Date 2021-04-12

Provider Mailing Address Detail

Address 15 Park Ave
City Bay Shore
State New York (NY)
Post Code 117067381
Phone Number 6315814400
Fax Number 6312773750

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 174127
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
174127 NY LICENSE
1151486 NY --

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FAQs about Bradley David Cohen

What is the Bradley David Cohen's unique identification number?

The Bradley David Cohen has been assigned the NPI (National Provider Identifier) Number 1104859925 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Bradley David Cohen?

The Bradley David Cohen is physically situated at 15 Park Ave, in the city of Bay Shore, state of NY, with the postal code 117067381.

What is Bradley David Cohen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bradley David Cohen's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.

On what date was the 1104859925 assigned to Bradley David Cohen?

The Bradley David Cohen was issued its 1104859925 on 2006-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Bradley David Cohen's details last updated?

The information pertaining to the Bradley David Cohen, including its address, specialty, and other details, was most recently updated on 2021-04-12.

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