Individual
MS. ALYSSA TSUKROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
19 W 34TH ST, PENTHOUSE, NEW YORK, NY 10001-3006
(212) 123-3333
Mailing address
19 W 34TH ST, PENTHOUSE, NEW YORK, NY 10001-3006
(212) 123-3333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R048362-1
NY
Other
Enumeration date
01/19/2007
Last updated
05/03/2010
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