Provider Demographics
NPI:1255911004
Name:NANCY COHEN GENETIC COUNSELING, LLC
Entity type:Organization
Organization Name:NANCY COHEN GENETIC COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CGC
Authorized Official - Phone:914-623-8446
Mailing Address - Street 1:14 JUNIPER PL
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2624
Mailing Address - Country:US
Mailing Address - Phone:914-623-8446
Mailing Address - Fax:914-478-7774
Practice Address - Street 1:14 JUNIPER PL
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-2624
Practice Address - Country:US
Practice Address - Phone:914-623-8446
Practice Address - Fax:914-478-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty