Healthcare Provider Details
I. General information
NPI: 1396761813
Provider Name (Legal Business Name): FRANCES COHEN ALEXANDER PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/15/2006
Last Update Date: 12/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 PILCH DR HUDSON RIVER HEALTHCARE, INC.
PINE PLAINS NY
12567-5657
US
IV. Provider business mailing address
1037 MAIN ST ATTN: CREDENTIALING
PEEKSKILL NY
10566-2913
US
V. Phone/Fax
- Phone: 518-398-1100
- Fax: 518-398-7108
- Phone: 914-734-8858
- Fax: 914-734-8786
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0200X |
| Taxonomy | Pediatric Registered Nurse |
| License Number | 000140 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: