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NPI Code Detail

MEDICARE: DR. BARBARA SUSAN COHEN PSY.D.

MEDICARE:  DR. BARBARA SUSAN COHEN  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist0113491NY

General Provider Information

NPI Number : 1720145253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA SUSAN COHEN PSY.D.
Provider Business Mailing Address
First Line : 204 DEAN STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2201
Country : US
Telephone Number : 718-624-4270
Fax Number :
Provider Business Practice Location Address
First Line : 50 BROADWAY FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10004-1607
Country : US
Telephone Number : 917-305-7734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 07/08/2007

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