Organization Name: | ISRAEL COHEN L.C.S.W.,P.C. |
NPI Number: | 1023245339 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ISRAEL COHEN (PRESIDENT) |
Mailing Address: | 406 N Broadway Nyack |
State: | NY US |
Postal Code: | 109601212 |
Phone Number: | 8453582239 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R000150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |