Provider Demographics
NPI:1366601668
Name:COHEN, ABBA YOSEF (LMHC)
Entity type:Individual
Prefix:MR
First Name:ABBA
Middle Name:YOSEF
Last Name:COHEN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 WASHINGTON AVE
Mailing Address - Street 2:C/O DR. ROTHBORT (SUITE 200)
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1669
Mailing Address - Country:US
Mailing Address - Phone:646-872-5927
Mailing Address - Fax:
Practice Address - Street 1:141 WASHINGTON AVE
Practice Address - Street 2:C/O DR. ROTHBORT (SUITE 200)
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1669
Practice Address - Country:US
Practice Address - Phone:646-872-5927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004414-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health