Individual
AVIVA LEAH COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
159 BRIGHTSIDE AVE, CENTRAL ISLIP, NY 11722-2710
(631) 234-1925
Mailing address
1675 YORK AVE APT 4D, NEW YORK, NY 10128-6765
(646) 856-0452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098335
NY
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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