Individual
MS. ILENE MICHELLE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, CDE
Contact information
Practice address
33 W 19TH ST STE 404, NEW YORK, NY 10011-4333
(917) 658-0554
(208) 246-1433
Mailing address
909 3RD AVE UNIT 7857, NEW YORK, NY 10150-2119
(917) 658-0554
(208) 246-1433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005703
NY
Other
Enumeration date
05/06/2011
Last updated
11/06/2017
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