Provider Demographics
NPI:1598785156
Name:COHEN, RANDYE E (PHD)
Entity Type:Individual
Prefix:DR
First Name:RANDYE
Middle Name:E
Last Name:COHEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 DOBBS TERRACE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583
Mailing Address - Country:US
Mailing Address - Phone:914-960-4603
Mailing Address - Fax:914-472-1939
Practice Address - Street 1:171 E POST RD
Practice Address - Street 2:ROOM 308
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4965
Practice Address - Country:US
Practice Address - Phone:914-960-4603
Practice Address - Fax:914-472-1939
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016673103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVN381Medicare PIN