Provider Demographics
NPI:1295150050
Name:COHEN, ELIZABETH ANN (FNP-C , PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:COHEN
Suffix:
Gender:F
Credentials:FNP-C , PMHNP-BC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C , PMHNP-BC
Mailing Address - Street 1:1797 VETERANS MEMORIAL HWY # 2
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-1537
Mailing Address - Country:US
Mailing Address - Phone:631-807-2449
Mailing Address - Fax:
Practice Address - Street 1:1797 VETERANS MEMORIAL HWY STE 2
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1537
Practice Address - Country:US
Practice Address - Phone:631-807-2449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338566-01363LF0000X
NYF402221-01363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health