Provider Demographics
NPI:1295048197
Name:SHERESHEVSKY COHEN, ELISHEVA (SLP)
Entity type:Individual
Prefix:MS
First Name:ELISHEVA
Middle Name:
Last Name:SHERESHEVSKY COHEN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8421 BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2103
Mailing Address - Country:US
Mailing Address - Phone:718-614-3131
Mailing Address - Fax:
Practice Address - Street 1:8421 BEVERLY RD
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2103
Practice Address - Country:US
Practice Address - Phone:718-614-3131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist