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Individual

JEFF COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
420 E 111TH ST, APT 613, NEW YORK, NY 10029-3042
(917) 434-6063
(718) 503-7751
Mailing address
420 E 111TH ST, APT 613, NEW YORK, NY 10029-3042
(917) 434-6063
(718) 503-7751

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11633
NY

Other

Enumeration date
01/29/2009
Last updated
01/29/2009
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