Provider Demographics
NPI:1912363771
Name:COHN, DANIELLA
Entity Type:Individual
Prefix:
First Name:DANIELLA
Middle Name:
Last Name:COHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:RABINOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:479 HICKS ST
Mailing Address - Street 2:APT 4R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-2934
Mailing Address - Country:US
Mailing Address - Phone:516-477-4077
Mailing Address - Fax:
Practice Address - Street 1:479 HICKS ST
Practice Address - Street 2:APT 4R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-2934
Practice Address - Country:US
Practice Address - Phone:516-477-4077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-10
Last Update Date:2016-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered