Provider Demographics
NPI:1215554084
Name:COHN, JOAN KIRSCHENBAUM (DSW)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:KIRSCHENBAUM
Last Name:COHN
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 W 66TH ST APT 28D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6213
Mailing Address - Country:US
Mailing Address - Phone:212-496-2766
Mailing Address - Fax:
Practice Address - Street 1:10 W 66TH ST APT 28D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6213
Practice Address - Country:US
Practice Address - Phone:212-496-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-28
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO29489-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical