Isa L. Eliasoph PSY.D.

NPI 1073782322 - Psychologist - 103TF0000X

NPI Details
NPI 1073782322
Gender Female
Enumeration Date 02/20/2008
Last Updated 02/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
11 GROSVENOR PL
GREAT NECK NY, 11021-4534, US
Phone (516) 482-3569
Fax
Business Location
11 GROSVENOR PL
GREAT NECK NY, 11021-4534, US
Phone (516) 482-3569
Fax
Toxanomy
Taxonomy Code 103TF0000X
License State New York
License Number 017411
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According to our database, Dr. Isa L. Eliasoph PSY.D. NPI is 1073782322, taxonomy code is 103TF0000X and license number is 017411, license state is located at New York. Isa L. Eliasoph PSY.D. physically located at 11 Grosvenor Pl, Great Neck NY, 11021-4534. NPI Number Isa L. Eliasoph PSY.D. has the Individual type.

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1073782322 NPI number is provided on an as is basis without warranty of any kind. 1073782322 is maintained by the National Plan & Provider Enumeration System. The contents of Isa L. Eliasoph PSY.D. are for informational purposes only.