MEDICARE: MS. ALICE COHEN SLP

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
1	235Z00000X	Speech-Language Pathologist	011153	NY

General Provider Information

NPI Number	:	1770867160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICE COHEN SLP

Provider Business Mailing Address
First Line	:	149 MOUNT JOY PL
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-1602
Country	:	US
Telephone Number	:	914-654-1578
Fax Number	:

Provider Business Practice Location Address
First Line	:	149 MOUNT JOY PL
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-1602
Country	:	US
Telephone Number	:	914-654-1578
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	10/04/2011

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Directions to “ MS. ALICE COHEN SLP” Practice Location

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