Individual
MS. AMY RACHAEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
079658-1
NY
Other
Enumeration date
06/23/2009
Last updated
11/06/2009
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