Individual
ELLIE S COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
962 MANOR RD, STATEN ISLAND, NY 10314-7011
(973) 769-7325
Mailing address
16 FAIRWAY OVAL, SPRING VALLEY, NY 10977-1723
(617) 715-0650
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
013484
NY
225X00000X
Occupational Therapist
Primary
46TR00071700
NJ
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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