Individual
ALYSSA M KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
790 PARK AVE, HUNTINGTON, NY 11740
(516) 286-6943
Mailing address
90 ADAMS AVE, HAUPPAUGE, NY 11788-3631
(516) 286-6943
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104588
NY
1041C0700X
Clinical Social Worker
Primary
097975
NY
Other
Enumeration date
11/27/2018
Last updated
08/26/2024
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