Provider Demographics
NPI:1629330311
Name:HALL-COHEN, RHONDA M
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:M
Last Name:HALL-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 1:34 WINEGAR LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1450
Mailing Address - Country:US
Mailing Address - Phone:347-645-1416
Mailing Address - Fax:
Practice Address - Street 1:34 WINEGAR LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1450
Practice Address - Country:US
Practice Address - Phone:347-645-1416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-09
Last Update Date:2012-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1769341174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY26187OtherNYS EARLY INTERVENTION PROGRAM