Provider Demographics
NPI:1770195497
Name:COLE, HOPE A (BA)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:A
Last Name:COLE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HERKIMER ST # 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-2706
Mailing Address - Country:US
Mailing Address - Phone:201-314-9736
Mailing Address - Fax:
Practice Address - Street 1:173 W 78TH ST APT 11C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6708
Practice Address - Country:US
Practice Address - Phone:845-558-1945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician