Provider Demographics
NPI:1952551046
Name:COWEN, CESARINA D (MS)
Entity Type:Individual
Prefix:MRS
First Name:CESARINA
Middle Name:D
Last Name:COWEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:CESARINA
Other - Middle Name:D
Other - Last Name:DIEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:3 SAWYER CT
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-1767
Mailing Address - Country:US
Mailing Address - Phone:631-941-3665
Mailing Address - Fax:
Practice Address - Street 1:3 SAWYER CT
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-1767
Practice Address - Country:US
Practice Address - Phone:631-941-3665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008277-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist