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NPI Code Detail

MEDICARE: MS. LESLIE COHEN M.S.

MEDICARE: MS. LESLIE COHEN M.S.
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1952382269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE COHEN M.S.
Provider Business Mailing Address
First Line : 11100 EUCLID AVE
Second Line : LAKESIDE 1500
City : CLEVELAND
State : OH
Zip : 44106-1736
Country : US
Telephone Number : 216-844-7213
Fax Number : 216-844-7497
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line : LAKESIDE 1500
City : CLEVELAND
State : OH
Zip : 44106-1736
Country : US
Telephone Number : 216-844-7213
Fax Number : 216-844-7497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 08/09/2016

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