Michelle M Kisiel-Cohen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

043396 Issued in NY

Practice address

3761 Main St
Warrensburg, NY 12885-1837

Phone

(518) 623-3918

Fax

(518) 623-4330

NPI assigned

Aug 1, 2006

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle E McCormley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: michelle.kisiel-cohen.1@1823.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1386651792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300",
            "fax_number": "518-824-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 MAIN ST",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851837",
            "telephone_number": "518-623-3918",
            "fax_number": "518-623-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISIEL-COHEN",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02566127",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.kisiel-cohen.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3761 Main St",
            "city": "Warrensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128851837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MCCORMLEY",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Kashinsky, MD
• Christina S Kay, FNP
• Mia Patricia Georgia Kennedy, PA-C
• Kathryn Mary Kernan, CNM
• Lauren Kipp, RPH
• Jeanine R Lawler, OTR/L
• Wendy Ann Maciariello, DPT
• Elizabeth L Maher, MD
• Karen Lyn Major, RDH
• Alexandra Maliha, PA

• Dentist in Warrensburg, NY
• Providers in Warrensburg, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.