Provider Demographics
NPI:1427500560
Name:COHEN, ALICE HELENE (OTR)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:HELENE
Last Name:COHEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 BEDFORD AVE
Mailing Address - Street 2:2 B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2794
Mailing Address - Country:US
Mailing Address - Phone:917-846-5856
Mailing Address - Fax:
Practice Address - Street 1:4800 BEDFORD AVE
Practice Address - Street 2:2 B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2794
Practice Address - Country:US
Practice Address - Phone:917-846-5856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002938-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist