Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | ||
N | 2251P0200X | Physical Therapist - Pediatrics | ||
N | 2251S0007X | Physical Therapist - Sports | 0293661 | NY |
NPI | 1114493442 |
---|---|
Provider Name | Gitty Cohen |
First Address | Flushing, NY 11367-1940 |
Second Address | Flushing, NY 11367-1940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2018 |
Last Update Date | 13/10/2018 |