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Organization
MINDSET LIFE LLC
Active
Organization
MINDSET LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN LEE COHEN (OWNER)
(585) 820-9151
Entity
Organization
Contact information
Practice address
33 PEARL ST, ROCHESTER, NY 14607-3532
(585) 820-9151
Mailing address
33 PEARL ST, ROCHESTER, NY 14607-3532
(585) 820-9151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
006722
NY
133V00000X
Registered Dietitian
006206
NY
207R00000X
Internal Medicine Physician
Primary
279199
NY
Other
Enumeration date
02/16/2018
Last updated
06/11/2019
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