Provider Demographics
NPI:1518947670
Name:COHEN, DEBORAH (MSPT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 GARLEN RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3424
Mailing Address - Country:US
Mailing Address - Phone:914-500-5239
Mailing Address - Fax:
Practice Address - Street 1:15 GARLEN RD
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-3424
Practice Address - Country:US
Practice Address - Phone:914-500-5239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0213971225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ16M41Medicare ID - Type UnspecifiedPROVIDER NUMBER