Provider Demographics
NPI:1467426759
Name:COHEN, MARJORIE HILL (MS)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:HILL
Last Name:COHEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54B UTICA ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NY
Mailing Address - Zip Code:13346-1108
Mailing Address - Country:US
Mailing Address - Phone:315-824-4712
Mailing Address - Fax:315-824-1851
Practice Address - Street 1:54B UTICA ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NY
Practice Address - Zip Code:13346-1108
Practice Address - Country:US
Practice Address - Phone:315-824-4712
Practice Address - Fax:315-824-1851
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000247231H00000X
NY14000001945237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01793599Medicaid
56925BMedicare PIN