Provider Demographics
NPI:1497030910
Name:COHEN, EDNA. S (DC)
Entity Type:Individual
Prefix:DR
First Name:EDNA.
Middle Name:S
Last Name:COHEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 W 16TH ST
Mailing Address - Street 2:SUITE #55
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6282
Mailing Address - Country:US
Mailing Address - Phone:646-420-2906
Mailing Address - Fax:
Practice Address - Street 1:135 W 16TH ST
Practice Address - Street 2:SUITE #55
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6282
Practice Address - Country:US
Practice Address - Phone:646-420-2906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003521-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor