Provider Demographics
NPI:1750540357
Name:COHEN, DEBORAH S
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:S
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:S
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:444 COMMUNITY DRIVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-365-7329
Mailing Address - Fax:914-271-0797
Practice Address - Street 1:444 COMMUNITY DR
Practice Address - Street 2:SUITE 306
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3820
Practice Address - Country:US
Practice Address - Phone:516-365-7329
Practice Address - Fax:914-271-7562
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0242261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical