DR. JESSICA LICY COHEN-PFEFFER MD, NPI 1386803476 — NEW YORK (NY)

NPI 1386803476

11+ Years Experience Individual

DR. JESSICA LICY COHEN-PFEFFER MD

06.04.2008
PROVIDER ENUMERATION DATE
06.04.2008
LAST UPDATE DATE
1386803476
NPI NUMBER

About DR. JESSICA LICY COHEN-PFEFFER

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. JESSICA LICY COHEN-PFEFFER is a provider established in NEW YORK, NY. The NPI number of DR. JESSICA LICY COHEN-PFEFFER is 1386803476 and was assigned on 06.04.2008. The practitioners primary taxonomy code is: 207SG0201X with license number: P61736 NY .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 10029
  • Phone: 2122412848
  • Fax: 2122419467
  • Address: BOX 1497
  • Address 2: MOUNS SINAI SCHOOL OF MEDICINE, ONE GUSTAVE LEVY PLACE

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1386803476
  • Phone : 2122412848
  • Fax : 2122419467
  • Postalcode : 10029
  • Address : BOX 1497 MOUNS SINAI SCHOOL OF MEDICINE, ONE GUSTAVE LEVY PLACE

Provider taxonomy - Medical Genetics

  • Taxonomy code: 207SG0201X
  • License number: P61736
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Contacts:

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  • DR. JESSICA LICY COHEN-PFEFFER MD
  • Address : BOX 1497 MOUNS SINAI SCHOOL OF MEDICINE, ONE GUSTAVE LEVY PLACE
  • Region : NEW YORK, NY
  • NPI : 1386803476
  • Phone : 2122412848
  • Fax : 2122419467
  • Postalcode : 10029

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location AddressBOX 1497
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressMOUNS SINAI SCHOOL OF MEDICINE, ONE GUSTAVE LEVY PLACE
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code10029
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2122412848
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2122419467
The fax number associated with the location address of the provider being identified.
NPI1386803476
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207SG0201X
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Provider Enumeration Date06.04.2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated06.04.2008
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. JESSICA LICY COHEN-PFEFFER
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing AddressBOX 1497
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressMOUNS SINAI SCHOOL OF MEDICINE, ONE GUSTAVE LEVY PLACE
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code10029
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2122412848
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2122419467
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1207SG0201X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Medical Genetics
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Provider License Number 1P61736
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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