Individual
CLARA LOUISE THORSEN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4316
(718) 881-2245
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4316
(718) 881-2245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N29356
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
442484
NY
367500000X
Certified Registered Nurse Anesthetist
RNA455A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430061691
RAILROAD MEDICARE
ID
05
—
805924700
—
ID
Enumeration date
05/26/2006
Last updated
07/29/2019
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