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General NPI Number Information
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NPI Number | 1558410183
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Entity Type | Individual
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Provider Name | SUE COHEN MSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 64 EAST 94TH STREET SUITE #1A
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City | NEW YORK
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State | NY
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Zip | 10128
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Country | US
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Telephone | 212-876-5132
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Fax | 212-662-4506
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Provider Business Mailing Address
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Address Line | 817 WEST END AVENUE APT #12D
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 212-864-2499
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Fax | 212-662-4506
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PR003047 1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 107198
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License Number State | MA
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