National Provider Identifier
Jason Evan Cohen, MD
Jason Evan Cohen, MD is listed in the NPPES registry with a primary specialty of Urology Physician in Ithaca, NY and a listed phone number of (607) 319-5747.
Profile Overview
- NPI
- 1396084794
- Provider Type
- Individual
- Primary Specialty
- Urology Physician
- Enumeration Date
- February 05, 2013
- Last Updated
- March 22, 2024
Practice Location
- 101 Dates Dr Fl 3
- Ithaca, NY 14850-1342
Phone: (607) 319-5747
Specialties
- Urology Physician (208800000X)
- Urology Physician (208800000X)
Full Record
- NPI
- 1396084794
- Entity Type
- Individual
- Last Name
- Cohen
- First Name
- Jason
- Middle Name
- Evan
- Credential
- MD
- Mailing Street Address
- 101 Dates Dr Fl 3
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Mailing Phone
- (607) 319-5747
- Practice Street Address
- 101 Dates Dr Fl 3
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 319-5747
- Enumeration Date
- February 05, 2013
- Last Updated
- March 22, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Urology Physician (208800000X), Urology Physician (208800000X)