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NPI 1497580518

NPI 1497580518 : LYNN MARIE COHEN : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1497580518
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    Entity Type          |    Individual 
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    Provider Name        |    LYNN MARIE COHEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/06/2024
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    Last Update Date     |    09/06/2024
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Provider Practice Location Address
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    Address Line         |    1350 AVENUE OF THE AMERICAS FL 2-1026 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10019-4702
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    Country              |    US
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    Telephone            |    646-229-1808
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    484 W 43RD ST APT 26M 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10036-9424
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    Country              |    US
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    Telephone            |    917-273-7267
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    NY
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