Basic Information
| Provider Information | |||||||||
| NPI: | 1245674472 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COHEN | ||||||||
| FirstName: | ALEXIS | ||||||||
| MiddleName: | LEIGH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DDS, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 FLOWER HILL RD | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117432341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6312943324 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2211 MERRICK RD | ||||||||
| Address2: | |||||||||
| City: | MERRICK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115664752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163655439 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2013 | ||||||||
| LastUpdateDate: | 09/23/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223P0221X | 058209-1 | NY | Y | Dental Providers | Dentist | Pediatric Dentistry |
No ID Information.