Provider Demographics
NPI:1104232859
Name:COHEN, ASYA
Entity type:Individual
Prefix:
First Name:ASYA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 E 18TH ST
Mailing Address - Street 2:APT. #2K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7261
Mailing Address - Country:US
Mailing Address - Phone:516-698-7642
Mailing Address - Fax:
Practice Address - Street 1:1580 E 18TH ST
Practice Address - Street 2:APT. #2K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7261
Practice Address - Country:US
Practice Address - Phone:516-698-7642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist