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NPI Code Detail

MEDICARE: FREDA COHEN

MEDICARE:   FREDA  COHEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1033572524
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDA COHEN
Provider Business Mailing Address
First Line : 310 RIVERSIDE BLVD
Second Line : APT 3D
City : LONG BEACH
State : NY
Zip : 11561-3532
Country : US
Telephone Number : 917-623-0260
Fax Number :
Provider Business Practice Location Address
First Line : 310 RIVERSIDE BLVD
Second Line : APT 3D
City : LONG BEACH
State : NY
Zip : 11561-3532
Country : US
Telephone Number : 917-623-0260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2016
Last Update Date : 04/01/2016

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Directions to “ FREDA COHEN ” Practice Location

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