Provider Demographics
NPI:1114144078
Name:COHEN, SETH B (MSPT)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:B
Last Name:COHEN
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE CT
Mailing Address - Street 2:APT 413N
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6767
Mailing Address - Country:US
Mailing Address - Phone:267-664-3062
Mailing Address - Fax:
Practice Address - Street 1:1 INDEPENDENCE COURT
Practice Address - Street 2:APT 413N
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:267-664-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016078225100000X
NJ40QA01370500225100000X
NY032081-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist