DR. BRADLEY DAVID COHEN (NPI# 1104859925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104859925 |
Entity Type | Individual |
Full Name | DR. BRADLEY DAVID COHEN |
Credential | M.D. |
Practice Address |
15 Park Ave Bay Shore NY 11706-7381 |
Practice Telephone | 6315814400 |
Practice Fax Number | 6312773750 |
Mailing Telephone | 6315814400 |
Mailing Fax Number | 6312773750 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-09-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
174127 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01151486 | 05 | |
NE | LICENSE | 174127 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578813572 | Bradley R Cohen | Counselor | 5400 South University Drive, #119, Davie, FL 33328 | 2012-09-17 |
1174846679 | Bradley Cohen | Physical Therapist | 67 Donaldson St, Highland Park, NJ 08904-2109 | 2010-03-11 |
1619948387 | Bradley M Cohen | Radiology | 2565 S State Road 7, Wellington, FL 33414-9368 | 2006-01-30 |
1801839113 | Bradley J Cohen | Internal Medicine | 255 Fifth Avenue, Nyack, NY 10960-1824 | 2006-06-14 |
1558334961 | Bradley J Cohen | Psychiatry & Neurology | 229 7th St, Suite 207, Garden City, NY 11530-5766 | 2006-02-08 |
1073592994 | Bradley James Cohen | Nurse Practitioner | 3890 Tampa Rd, Ste 202, Palm Harbor, FL 34684-3677 | 2006-01-10 |
Street Address |
15 PARK AVE |
City | BAY SHORE |
State | NY |
Zip Code | 11706-7381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275820961 | Good Samaritan Hospital Medical Center | Clinic/Center | 15 Park Ave, Bay Shore, NY 11706-7381 | 2011-07-01 |
1285868471 | Tina Joseph | Surgery | 15 Park Ave, Bay Shore, NY 11706 | 2009-05-04 |
1740467737 | Frederick B Achildiev | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2008-01-22 |
1891701975 | John R Tomasula | Transplant Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-31 |
1619900438 | Charles A La Rosa | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-07 |
1134158793 | Terry Palatt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-03 |
1457380024 | Manal Hegazy | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-03 |
1871539205 | Scott Christopher Wodicka | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-06-22 |
1821037698 | Alexander Melman | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-06-06 |
1639116759 | Island Surgical & Vascular Group, P.C. | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
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Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992334379 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Fl 3, Carmel, NY 10512-3997 | 2020-04-07 |
1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
1336620004 | Jianhong Winson Tan | Surgery | 1233 York Ave Apt 20n, New York, NY 10065-6342 | 2018-08-22 |
1306348610 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Ste C126, Carmel, NY 10512-3997 | 2018-03-02 |
1316286404 | Harold O Douglass Jr. | Surgery | 72 Andover Ln, Williamsville, NY 14221-3309 | 2013-02-08 |
1811246382 | Iain James Nixon | Surgery | 1378 York Ave, Apt 1c, New York, NY 10021-3415 | 2012-08-30 |
1578819595 | Dong Kyu Kim | Surgery | 118 Foxwood Dr, Jericho, NY 11753-1116 | 2012-07-27 |
1881965903 | William Mahoney | Surgery | 15 Eileen's Path, Box 2738, East Hampton, NY 11937 | 2012-01-20 |
1649551953 | Manuela J Junqueira | Surgery | 303 E 60th St Apt 24f, New York, NY 10022-1523 | 2011-08-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.