Provider Demographics
NPI:1942673678
Name:COHEN, RACHEL (MSED)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SEAMAN AVE APT 6C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-2864
Mailing Address - Country:US
Mailing Address - Phone:917-697-2645
Mailing Address - Fax:
Practice Address - Street 1:60 SEAMAN AVE APT 6C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2864
Practice Address - Country:US
Practice Address - Phone:917-697-2645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY862297174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist