Healthcare Provider Details

I. General information

NPI: 1427994300
Provider Name (Legal Business Name): CHAYA COHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 MADISON ST
HOLLYWOOD FL
33019-1819
US

IV. Provider business mailing address

1355 MADISON ST
HOLLYWOOD FL
33019-1819
US

V. Phone/Fax

Practice location:
  • Phone: 929-285-8548
  • Fax:
Mailing address:
  • Phone: 929-285-8548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN-CNM307656
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11046232
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: