Organization Name: | DR. LEE S COHEN ASSOCIATES |
NPI Number: | 1497795843 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE S COHEN (OWNER / PRESIDENT) |
Mailing Address: | 642 East Chester Pike Ridley Park |
State: | PA US |
Postal Code: | 19078 |
Phone Number: | 6105229200 |
Fax Number: | 6105229478 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 02/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | SC001567L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |