Provider Demographics
NPI:1598029753
Name:COHEN, STACY FEIT (MS)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:FEIT
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 1:98 PERKINS AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3913
Mailing Address - Country:US
Mailing Address - Phone:516-678-8073
Mailing Address - Fax:
Practice Address - Street 1:98 PERKINS AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3913
Practice Address - Country:US
Practice Address - Phone:516-678-8073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298842174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist