Cohen, Mark
Cohen, Mark is an individual health care provider with primary practice located at 77 Sullys Trail , Pittsford NY 14534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cohen, Mark can be contacted via phone (585) 248-5300.Contact Information
Primary practice address
77 Sullys Trail
Pittsford NY 14534
Phone: (585) 248-5300
Fax: (585) 248-3427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 167205 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 167205 | New York |
Profile Details
| NPI number | 1598710238 |
|---|---|
| LBN Legal business name | Cohen, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1598710238 | NPPES |
| New York | MEDICAID | 00355266 | |
| New York | Other | 00025110001 | |
| New York | Other | 11121974 | |
| New York | Other | 2025 | |
| New York | Other | 050613000028 | |
| New York | Other | 101150DL | |
| New York | Other | 0193671 | |
| New York | Other | 101150BL |
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