Individual
BARBARA ANNE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS SPED
Contact information
Practice address
15 FLEETWOOD AVE, MELVILLE, NY 11747-1513
(631) 680-4812
Mailing address
15 FLEETWOOD AVE, MELVILLE, NY 11747-1513
(631) 680-4812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252Y00000X
EARLY INTERVENTION PROVIDER
NY
Enumeration date
08/17/2012
Last updated
08/17/2012
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