Individual ProviderDavid CohenEmergency MedicineAllopathic & Osteopathic PhysiciansPractice AddressUniversity Hospital, L4, Stony Brook, NY 11794-0001(631) 444-2499PECOS EnrollmentBased on the most recent information from CMS, provider David Cohen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1902835333Provider TypeIndividualFull NameCohen, DavidTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/30/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressUniversity Hospital, L4, Stony Brook, NY 11794-0001Phone(631) 444-2499FaxUnlisted FaxMailing LocationMailing AddressPO Box 1559, Stony Brook, NY 11790-0989Phone(631) 444-2499FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense223360New YorkProvider IdentifiersIDDescriptionIssuerID719V81DescriptionOtherIssuerEMPIRE BC.BSNew YorkID7730533DescriptionOtherIssuerAETNANew YorkID02227521DescriptionMedicaidIssuerUnlistedNew York