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Organization

COHEN PSYCHOLOGICAL SERVICES, PLLC

Active
Other names
ICAN Innovative Counseling and Assessment of Nassau
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIE COHEN PH.D. (OWNER)
(516) 558-3010
Entity
Organization

Contact information

Practice address
191 BRADLEY AVE, STATEN ISLAND, NY 10314-5166
(516) 558-3010
(516) 558-3011
Mailing address
70 E SUNRISE HIGHWAY, SUITE 500 #6409, VALLEY STREAM, NY 11581
(516) 558-3010
(516) 558-3011

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020858
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03965299
NY
Enumeration date
05/16/2016
Last updated
11/04/2022
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