MEDICARE: DR. YOAV COHEN PH.D.

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
1	103TC0700X	Clinical Psychologist	015962	NY

General Provider Information

NPI Number	:	1194803221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOAV COHEN PH.D.

Provider Business Mailing Address
First Line	:	23 W 73RD ST
Second Line	:	SUITE 101
City	:	NEW YORK
State	:	NY
Zip	:	10023-3104
Country	:	US
Telephone Number	:	347-831-0280
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 W 73RD ST
Second Line	:	SUITE 101
City	:	NEW YORK
State	:	NY
Zip	:	10023-3104
Country	:	US
Telephone Number	:	347-831-0280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	10/20/2011

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