Provider Demographics
NPI:1538571351
Name:DR. BETH J COHEN DC
Entity type:Organization
Organization Name:DR. BETH J COHEN DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-366-4474
Mailing Address - Street 1:740 VETERANS MEMORIAL HWY STE 210
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2310
Mailing Address - Country:US
Mailing Address - Phone:631-366-4474
Mailing Address - Fax:631-366-4473
Practice Address - Street 1:740 VETERANS MEMORIAL HWY STE 210
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2310
Practice Address - Country:US
Practice Address - Phone:631-366-4474
Practice Address - Fax:631-366-4473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027850111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty