Provider Demographics
NPI:1609351444
Name:COHEN, ARIEL SHANTI
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:SHANTI
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 47TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11103-1731
Mailing Address - Country:US
Mailing Address - Phone:570-856-8144
Mailing Address - Fax:
Practice Address - Street 1:3234 47TH ST APT 2
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11103-1731
Practice Address - Country:US
Practice Address - Phone:570-856-8144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician