Provider Demographics
NPI:1215144530
Name:COHEN VERA, MARJORIE SHARON (IBCLC)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:SHARON
Last Name:COHEN VERA
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 88TH ST
Mailing Address - Street 2:APT. 3A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5546
Mailing Address - Country:US
Mailing Address - Phone:718-921-1558
Mailing Address - Fax:
Practice Address - Street 1:137 88TH ST
Practice Address - Street 2:APT. 3A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5546
Practice Address - Country:US
Practice Address - Phone:718-921-1558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist