Healthcare Provider Details

I. General information

NPI: 1073438081
Provider Name (Legal Business Name): ANDREW COHEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 E 52ND ST
NEW YORK NY
10022-6201
US

IV. Provider business mailing address

1 UNION SQ S APT 19L
NEW YORK NY
10003-4191
US

V. Phone/Fax

Practice location:
  • Phone: 646-347-1823
  • Fax: 917-545-0260
Mailing address:
  • Phone:
  • Fax: 917-545-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number131773
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: