Individual
MS. IRIS R COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1490 WILLIAM FLOYD PKWY, E YAPHANK, NY 11967-1820
(631) 924-3741
(631) 924-2413
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743
(631) 427-3700
(631) 427-9149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00659412
—
NY
Enumeration date
03/30/2007
Last updated
07/08/2007
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