National Provider Identifier

Lee James Cohen, MS, ATC

Lee James Cohen, MS, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Brockport, NY and a listed phone number of (585) 395-2251.

NPI 1659322063Brockport, NYAthletic Trainer

Profile Overview

NPI
1659322063
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
May 12, 2006
Last Updated
September 10, 2021

Practice Location

  • 350 New Campus Dr
  • Brockport, NY 14420-2997

Phone: (585) 395-2251

Mailing Address

  • 23 Leeward Ln
  • Canandaigua, NY 14424-2482

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1659322063
Entity Type
Individual
Last Name
Cohen
First Name
Lee
Middle Name
James
Name Prefix
Mr.
Credential
MS, ATC
Mailing Street Address
23 Leeward Ln
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-2482
Mailing Country
US
Mailing Phone
(585) 506-6365
Practice Street Address
350 New Campus Dr
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2997
Practice Country
US
Practice Phone
(585) 395-2251
Enumeration Date
May 12, 2006
Last Updated
September 10, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
September 10, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)