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Individual

DR. ALAN S ELLIOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
171 MADISON AVE, SUITE 1400, NEW YORK, NY 10016-5110
(212) 243-2304
(914) 834-0366
Mailing address
171 MADISON AVE, SUITE 1400, NEW YORK, NY 10016-5110
(212) 243-2304
(914) 834-0366

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
011514
NY
103TC0700X
Clinical Psychologist
Primary
011514
NY
103TC2200X
Clinical Child & Adolescent Psychologist
011514
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44000
NATIONAL REGISTER
Enumeration date
12/19/2006
Last updated
09/29/2014
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