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NPI Code Detail

MEDICARE: MRS. ELIZABETH MIRNA KOHEN MS,CCC,SLP

MEDICARE:  MRS. ELIZABETH MIRNA KOHEN  MS,CCC,SLP
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
1235Z00000XSpeech-Language Pathologist017187NY

General Provider Information

NPI Number : 1356625834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH MIRNA KOHEN MS,CCC,SLP
Provider Business Mailing Address
First Line : 400 FORT WASHINGTON AVE
Second Line : APT 5 F
City : NEW YORK
State : NY
Zip : 10033-6849
Country : US
Telephone Number : 917-496-4926
Fax Number :
Provider Business Practice Location Address
First Line : 400 FORT WASHINGTON AVE
Second Line : APT 5 F
City : NEW YORK
State : NY
Zip : 10033-6849
Country : US
Telephone Number : 917-496-4926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 10/03/2011

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Directions to “ MRS. ELIZABETH MIRNA KOHEN MS,CCC,SLP” Practice Location

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