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General NPI Number Information
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NPI Number | 1487545034
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Entity Type | Individual
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Provider Name | SHUKI COHEN MSC, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 280 MADISON AVE RM 1202
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City | NEW YORK
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State | NY
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Zip | 10016-0809
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Country | US
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Telephone | 212-924-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 332 W 17TH ST APT 2W
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City | NEW YORK
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State | NY
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Zip | 10011-5047
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Country | US
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Telephone | 646-209-8207
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P136430
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License Number State | NY
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