Provider Demographics
NPI:1942825138
Name:BARBARA COHEN NP LLC
Entity Type:Organization
Organization Name:BARBARA COHEN NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:EVELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIVTSOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-755-6788
Mailing Address - Street 1:16 W 16TH ST APT 7PS
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6335
Mailing Address - Country:US
Mailing Address - Phone:347-379-3461
Mailing Address - Fax:
Practice Address - Street 1:16 W 16TH ST APT 7PS
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6335
Practice Address - Country:US
Practice Address - Phone:347-379-3461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY313680OtherLICENSE
NY302677OtherLICENSE