Individual
DR. ALISA ROSE KASACHKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
340 E 93RD ST, # 7M, NY, NY 10128
(212) 289-5649
(212) 289-1036
Mailing address
340 E 93RD ST, # 7M, NY, NY 10128
(212) 289-5649
(212) 289-1036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081616
GHI VALUE OPTION
NY
05
—
01343604
—
NY
Enumeration date
01/09/2007
Last updated
07/08/2007
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