Individual
MARILYN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
41 CARY ROAD, GREAT NECK, NY 11021
(516) 466-2096
(516) 495-1807
Mailing address
41 CARY ROAD, GREAT NECK, NY 11021
(516) 466-2096
(516) 495-1807
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0004851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057805
GHI
NY
01
—
53934
UBH
NY
Enumeration date
12/05/2006
Last updated
07/08/2007
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