Organization
EMPIRE NEUROPSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODIE GAYLE COHEN PH.D. (OWNER)
(518) 496-3903
Entity
Organization
Contact information
Practice address
318 DELAWARE AVE STE 21, DELMAR, NY 12054-1911
(518) 496-3903
Mailing address
PO BOX 536, DELMAR, NY 12054-0536
(845) 548-2991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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