Provider Demographics
NPI:1356682892
Name:COHN, KERRI (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:COHN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BELMONT CIR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5734
Mailing Address - Country:US
Mailing Address - Phone:516-729-9879
Mailing Address - Fax:
Practice Address - Street 1:101 BELMONT CIR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5734
Practice Address - Country:US
Practice Address - Phone:516-729-9879
Practice Address - Fax:516-226-1550
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-08
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011077-1225XP0200X
NY011077225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics