Cohen, Carly M

Cohen, Carly M is an individual health care provider with primary practice located at 10819 Rockaway Blvd , South Ozone Park NY 11420-1034. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cohen, Carly M can be contacted via phone (718) 845-2620.

Contact Information

Primary practice address
10819 Rockaway Blvd South Ozone Park NY 11420-1034
Fax: (718) 845-9380
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 075400 New York

Profile Details

NPI number 1487892055
LBN Legal business name Cohen, Carly M
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2009
Last updated Feb 4th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487892055 NPPES
New York MEDICAID 00075400

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