Individual
ILISSA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
629 FIFTH AVE, PELHAM, NY 10803-1251
(914) 368-2995
Mailing address
629 FIFTH AVE STE 109, PELHAM, NY 10803-3708
(732) 947-0896
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
01/07/2026
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