Cohen, Payam

Cohen, Payam is an individual health care provider with primary practice located at 10850 71St Ave Suite 1F, Forest Hills NY 11375-4564. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cohen, Payam can be contacted via phone (718) 793-6669.

Contact Information

Primary practice address
10850 71St Ave Suite 1F Forest Hills NY 11375-4564
Fax: (718) 793-6003
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 047547 New York

Profile Details

NPI number 1912997925
LBN Legal business name Cohen, Payam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912997925 NPPES
New York MEDICAID 01954021

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