Provider Demographics
NPI:1316967003
Name:COHEN, ANDERS J (DO)
Entity type:Individual
Prefix:
First Name:ANDERS
Middle Name:J
Last Name:COHEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:86 SAINT FELIX ST FL 10
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3032
Mailing Address - Country:US
Mailing Address - Phone:718-250-8103
Mailing Address - Fax:718-250-6977
Practice Address - Street 1:86 SAINT FELIX ST FL 10
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3032
Practice Address - Country:US
Practice Address - Phone:718-250-8103
Practice Address - Fax:718-250-6977
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2021-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY217215207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02659387Medicaid
NY02659387Medicaid