Provider Demographics
NPI:1497984165
Name:COHEN, YAEL (MPT)
Entity Type:Individual
Prefix:MS
First Name:YAEL
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 GRAND ST
Mailing Address - Street 2:APT E204
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4382
Mailing Address - Country:US
Mailing Address - Phone:347-821-8897
Mailing Address - Fax:
Practice Address - Street 1:575 GRAND ST
Practice Address - Street 2:APT E204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4382
Practice Address - Country:US
Practice Address - Phone:347-821-8897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0277442251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics