Individual
ALAN L. CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. DIV.
Contact information
Practice address
109 E 50TH ST, NEW YORK, NY 10022-6804
(212) 935-5023
Mailing address
209 S BROADWAY, NYACK, NY 10960-4436
(914) 646-2339
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000747-1
NY
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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