MEDICARE: MELISSA 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
1	1041C0700X	Clinical Social Worker	073502	NY

General Provider Information

NPI Number	:	1497172126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA COHEN LCSW

Provider Business Mailing Address
First Line	:	57 W 57TH ST FL 4
Second Line	:	#301
City	:	NEW YORK
State	:	NY
Zip	:	10019-2827
Country	:	US
Telephone Number	:	646-416-7936
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 W 57TH ST FL 4
Second Line	:	#301
City	:	NEW YORK
State	:	NY
Zip	:	10019-2827
Country	:	US
Telephone Number	:	646-416-7936
Fax Number	:

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

Provider Enumeration Date	:	03/19/2014
Last Update Date	:	03/19/2014

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Directions to “ MELISSA COHEN LCSW” Practice Location

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