Organization
BAY RIDGE LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIZA SKAYA LCSW (OWNER)
(718) 808-5708
Entity
Organization
Contact information
Practice address
4056 AMBOY RD, STATEN ISLAND, NY 10308-2409
(718) 808-5708
Mailing address
PO BOX 80315, STATEN ISLAND, NY 10308-0315
(718) 808-5708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0823451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03430320
—
NY
01
—
A300130327
MEDICARE PTAN
NY
Enumeration date
12/15/2016
Last updated
04/19/2025
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