Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | R026661-1 | NY |
NPI | 1003068370 |
---|---|
Provider Name | Stefani Malkin Cohen |
First Address | New Rochelle, NY 10804-1313 |
Second Address | New Rochelle, NY 10804-1313 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2008 |
Last Update Date | 17/10/2008 |