Provider Demographics
NPI:1720453962
Name:ELIZABETH COHEN PHD
Entity Type:Organization
Organization Name:ELIZABETH COHEN PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-596-8955
Mailing Address - Street 1:164 W 80TH ST
Mailing Address - Street 2:BASEMENT SUITE OFFICE #3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6357
Mailing Address - Country:US
Mailing Address - Phone:917-596-8955
Mailing Address - Fax:
Practice Address - Street 1:164 W 80TH ST
Practice Address - Street 2:BASEMENT SUITE OFFICE #3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6357
Practice Address - Country:US
Practice Address - Phone:917-596-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-13
Last Update Date:2015-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201318468103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty