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NPI Code Detail

MEDICARE: MS. SANDRA S COHEN LCSW

MEDICARE:  MS. SANDRA S COHEN  LCSW
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
11041C0700XClinical Social WorkerR0298411NY

General Provider Information

NPI Number : 1336252790
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA S COHEN LCSW
Provider Business Mailing Address
First Line : 4 NORMANSKILL BLVD
Second Line : STE 402
City : DELMAR
State : NY
Zip : 12054-1335
Country : US
Telephone Number : 518-439-8442
Fax Number : 518-463-0340
Provider Business Practice Location Address
First Line : 4 NORMANSKILL BLVD
Second Line : STE 402
City : DELMAR
State : NY
Zip : 12054-1335
Country : US
Telephone Number : 518-439-8442
Fax Number : 518-463-0340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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Directions to “ MS. SANDRA S COHEN LCSW” Practice Location

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