| Doctor Name: | RANDI L COHEN |
| NPI Number: | 1063488146 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | 25MA07906000 |
| Business Practice Address: | 256 Columbia Tpke Suite 102 Florham Park, NJ - 079321209 |
| Business Phone Number: | 9736600555 |
| Business Fax Number: | 9736600556 |
| Mailing Address: | 256 Columbia Tpke, Suite 102 FLORHAM PARK |
| State: | NJ |
| Postal Code: | 079321209 |
| Phone Number: | 9736600555 |
| Fax Number: | 9736600556 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 11/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 25MA07906000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |