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General NPI Number Information
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NPI Number | 1073745030
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Entity Type | Individual
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Provider Name | MIA GINTOFT COHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 450 MAMARONECK AVE STE 415
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City | HARRISON
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State | NY
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Zip | 10528-2436
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Country | US
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Telephone | 914-407-3047
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Fax | 914-499-3900
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Provider Business Mailing Address
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Address Line | 450 MAMARONECK AVE STE 415
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City | HARRISON
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State | NY
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Zip | 10528-2436
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Country | US
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Telephone | 914-407-3047
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Fax | 914-499-3900
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 254402
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 254402
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License Number State | NY
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