Basic Information
| Provider Information | |||||||||
| NPI: | 1578934352 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ORLIN AND COHEN ORTHOPEDIC ASSOCIATES, LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45 CROSSWAYS PARK DR W | ||||||||
| Address2: | |||||||||
| City: | WOODBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117972037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5164228080 | ||||||||
| FaxNumber: | 5164228085 | ||||||||
| Practice Location | |||||||||
| Address1: | 45 CROSSWAYS PARK DR W | ||||||||
| Address2: | |||||||||
| City: | WOODBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117972037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5164228080 | ||||||||
| FaxNumber: | 5164228085 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2015 | ||||||||
| LastUpdateDate: | 10/19/2015 | ||||||||
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| AuthorizedOfficialLastName: | MCKEEVER | ||||||||
| AuthorizedOfficialFirstName: | TRACY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 5169924568 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 019284 | NY | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.