Individual
ALYSSA FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BOONE ST, STATEN ISLAND, NY 10314-5004
(347) 446-5870
Mailing address
4 BOONE ST, STATEN ISLAND, NY 10314-5004
(347) 446-5870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006929-1
NY
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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