Individual
DR. LORI CARISTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
536 CLINTON ST, BROOKLYN, NY 11231-3306
(718) 522-0788
(718) 522-0788
Mailing address
536 CLINTON ST, BROOKLYN, NY 11231-3306
(718) 522-0788
(718) 522-0788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013678-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522802
VALUEOPTIONS ID NUMBER
NY
01
—
P2803087
OXFORD PROVIDER ID NUMBER
NY
Enumeration date
12/26/2006
Last updated
07/08/2007
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