MEDICARE: RACHEL COHEN

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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1861040651	OTHER		1861040651

General Provider Information

NPI Number	:	1861040651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL COHEN

Provider Business Mailing Address
First Line	:	6759 136TH ST APT A
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-1623
Country	:	US
Telephone Number	:	631-220-1858
Fax Number	:

Provider Business Practice Location Address
First Line	:	6759 136TH ST APT A
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-1623
Country	:	US
Telephone Number	:	631-220-1858
Fax Number	:

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

Provider Enumeration Date	:	08/27/2019
Last Update Date	:	07/06/2022

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Directions to “ RACHEL COHEN ” Practice Location

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