Individual
IRA L COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 FOREST HILL RD, STATEN ISLAND, NY 10314-6356
(718) 494-5181
Mailing address
1050 FOREST HILL RD, STATEN ISLAND, NY 10314-6356
(718) 494-5181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005918-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01506409
—
NY
Enumeration date
09/12/2006
Last updated
05/02/2008
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