| Organization Name: | COHEN PSYCHOLOGICAL SERVICES, PLLC |
| NPI Number: | 1053768424 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIE COHEN (OWNER) |
| Mailing Address: | 1226 W Broadway Suite 5 Hewlett |
| State: | NY US |
| Postal Code: | 115571923 |
| Phone Number: | 5165583010 |
| Fax Number: | 5165583011 |
| NPI Enumeration Date: | 05/16/2016 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 020858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |