Provider Demographics
NPI:1972949733
Name:COHEN, HERBERT B (LCAT)
Entity type:Individual
Prefix:
First Name:HERBERT
Middle Name:B
Last Name:COHEN
Suffix:
Gender:M
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 NEW ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3301
Mailing Address - Country:US
Mailing Address - Phone:631-697-9850
Mailing Address - Fax:631-651-8496
Practice Address - Street 1:81 NEW ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3301
Practice Address - Country:US
Practice Address - Phone:631-697-9850
Practice Address - Fax:631-651-8496
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional