Individual
DR. PAUL MICHAEL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
523 E GENESEE ST, FAYETTEVILLE, NY 13066-1536
(315) 382-1986
(315) 637-9151
Mailing address
523 E GENESEE ST, FAYETTEVILLE, NY 13066-1536
(315) 382-1986
(315) 637-9151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0098-23
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02170987
—
NY
Enumeration date
07/26/2006
Last updated
07/08/2007
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