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NPI Code Detail

MEDICARE: MRS. DEBRA COHEN-GOLDSTEIN

MEDICARE:  MRS. DEBRA  COHEN-GOLDSTEIN
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
1222Q00000XDevelopmental Therapist739314972NY

General Provider Information

NPI Number : 1770824260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA COHEN-GOLDSTEIN
Provider Business Mailing Address
First Line : 137A EAST DR
Second Line :
City : NORTH MASSAPEQUA
State : NY
Zip : 11758-1609
Country : US
Telephone Number : 516-694-6744
Fax Number : 516-694-6744
Provider Business Practice Location Address
First Line : 137A EAST DR
Second Line :
City : NORTH MASSAPEQUA
State : NY
Zip : 11758-1609
Country : US
Telephone Number : 516-694-6744
Fax Number : 516-694-6744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2013
Last Update Date : 03/07/2013

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Directions to “ MRS. DEBRA COHEN-GOLDSTEIN ” Practice Location

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