Provider Demographics
NPI:1487776233
Name:BROWN, GWEN COHEN (DDS)
Entity type:Individual
Prefix:DR
First Name:GWEN
Middle Name:COHEN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:194 GARTH RD
Mailing Address - Street 2:APT 3 I
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3867
Mailing Address - Country:US
Mailing Address - Phone:914-722-4433
Mailing Address - Fax:914-722-4433
Practice Address - Street 1:194 GARTH RD
Practice Address - Street 2:APT 3 I
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3867
Practice Address - Country:US
Practice Address - Phone:914-722-4433
Practice Address - Fax:914-722-4433
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0420261223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology