Individual ProviderOmid CohensedghStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1051 Riverside Dr, New York, NY 10032-1007(516) 222-3369PECOS EnrollmentBased on the most recent information from CMS, provider Omid Cohensedgh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265286553Provider TypeIndividualFull NameCohensedgh, OmidCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/15/2024Last Updated4/15/2024Contact InformationPractice LocationPractice Address1051 Riverside Dr, New York, NY 10032-1007Phone(516) 222-3369FaxUnlisted FaxMailing LocationMailing Address1051 Riverside Dr, New York, NY 10032-1007Phone(516) 222-3369FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer