Healthcare Provider Details

I. General information

NPI: 1467381608
Provider Name (Legal Business Name): ISABELLE COHN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 E WALNUT ST
LONG BEACH NY
11561-3516
US

IV. Provider business mailing address

48 E WALNUT ST
LONG BEACH NY
11561-3516
US

V. Phone/Fax

Practice location:
  • Phone: 704-451-8556
  • Fax:
Mailing address:
  • Phone: 704-451-8556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number034080
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: