Provider Demographics
NPI:1497580518
Name:COHEN, LYNN MARIE
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 W 43RD ST APT 26M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-9424
Mailing Address - Country:US
Mailing Address - Phone:917-273-7267
Mailing Address - Fax:
Practice Address - Street 1:1350 AVENUE OF THE AMERICAS FL 2-1026
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4702
Practice Address - Country:US
Practice Address - Phone:646-229-1808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health