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Susan M Cohen

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NPI Number Detailed Information

Provider Information:

Name: Susan M Cohen
Gender: F
Provider License Number If Given: 48301

NPI Information:

NPI: 1740275262
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 83 MONTGOMERY AVE
Scarsdale, NY 10583
Phone Number: 9144726686
Fax Number: 9144726757

Provider Business Practice Location Address:

Address: 83 MONTGOMERY AVE
Scarsdale, NY 10583
Phone Number: 9144726686
Fax Number: 9144726757

Provider Taxonomy:

Primary: 225100000X
Secondary (if any):
State: NY

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