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NPI Code Detail

MEDICARE: SHTERNA COHEN SARAH COHEN MS, RDN

MEDICARE: SHTERNA COHEN SARAH COHEN MS, RDN
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
1133V00000XRegistered Dietitian012205NY
2133V00000XRegistered Dietitian164.009369IL

General Provider Information

NPI Number : 1396690566
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHTERNA COHEN SARAH COHEN MS, RDN
Provider Business Mailing Address
First Line : 3047 W SHERWIN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60645-1133
Country : US
Telephone Number : 773-946-7621
Fax Number :
Provider Business Practice Location Address
First Line : 5645 MAIN ST
Second Line :
City : FLUSHING
State : NY
Zip : 11355-5045
Country : US
Telephone Number : 718-670-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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