Doctor Name: | DR. JONATHAN CHARLES COHEN |
NPI Number: | 1194980953 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D |
License Number: | 017683 |
Business Practice Address: | 650 Central Ave Suite H Cedarhurst, NY - 115162301 |
Business Phone Number: | 5164749855 |
Business Fax Number: | 5167917702 |
Mailing Address: | 650 Central Ave, Suite H CEDARHURST |
State: | NY |
Postal Code: | 115162301 |
Phone Number: | 5164749855 |
Fax Number: | 5167917702 |
NPI Enumeration Date: | 07/22/2008 |
NPI Last Update Date: | 07/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 017683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |