Provider Demographics
NPI:1336430925
Name:COHEN, ANDREA BETH (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:BETH
Last Name:COHEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:BETH
Other - Last Name:STROBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:200 E 33RD ST
Mailing Address - Street 2:SUITE 23J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4874
Mailing Address - Country:US
Mailing Address - Phone:212-725-0192
Mailing Address - Fax:914-285-5723
Practice Address - Street 1:200 E 33RD ST
Practice Address - Street 2:SUITE 23J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4874
Practice Address - Country:US
Practice Address - Phone:212-725-0192
Practice Address - Fax:914-285-5723
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016394-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist