Provider Demographics
NPI:1235484379
Name:MERESMANCOHEN, JANET LEE (MS SPECIAL ED)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LEE
Last Name:MERESMANCOHEN
Suffix:
Gender:F
Credentials:MS SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 FURNESS PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6206
Mailing Address - Country:US
Mailing Address - Phone:917-991-4689
Mailing Address - Fax:718-761-6938
Practice Address - Street 1:76 FURNESS PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-6206
Practice Address - Country:US
Practice Address - Phone:917-991-4689
Practice Address - Fax:718-761-6938
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY473735174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist