Individual
LISA ALTSHULER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
948 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-8020
(718) 635-7235
Mailing address
977 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8015
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
009642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009642
HIP
NY
05
—
01571526
—
NY
01
—
149768
VALUE OPTIONS
NY
01
—
6152321
UNITED BEHAVIORAL HEALTH
NY
01
—
P778754
OXFORD
NY
01
—
VS2651
EMPIRE BCBS
NY
Enumeration date
09/12/2005
Last updated
07/08/2007
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