Provider Demographics
NPI:1235491762
Name:COHEN, CYNTHIA ELLEN (MSN, ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ELLEN
Last Name:COHEN
Suffix:
Gender:F
Credentials:MSN, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:101 NICOLLS ROAD
Mailing Address - Street 2:HEALTH SCIENCES CENTER T-16, SUITE 080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8160
Mailing Address - Country:US
Mailing Address - Phone:631-444-1062
Mailing Address - Fax:212-774-2676
Practice Address - Street 1:500 COMMACK RD STE 203
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5020
Practice Address - Country:US
Practice Address - Phone:631-638-0597
Practice Address - Fax:631-444-1054
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2024-04-01
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Provider Licenses
StateLicense IDTaxonomies
NYF305996-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health