Individual
MS. ALISA AYDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
850 7TH AVE STE 906, NEW YORK, NY 10019-5438
(917) 414-1027
Mailing address
114 W 86TH ST, NEW YORK, NY 10024-4042
(917) 414-1027
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001118
NY
Other
Enumeration date
04/01/2015
Last updated
12/13/2021
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