Provider Demographics
NPI:1508114802
Name:COHEN, BARBARA ANNE (BS SPED)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:COHEN
Suffix:
Gender:F
Credentials:BS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FLEETWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1513
Mailing Address - Country:US
Mailing Address - Phone:631-680-4812
Mailing Address - Fax:
Practice Address - Street 1:15 FLEETWOOD AVE
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-1513
Practice Address - Country:US
Practice Address - Phone:631-680-4812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY252Y00000XOtherEARLY INTERVENTION PROVIDER