Provider Demographics
NPI:1023194321
Name:LYSHAK-STELZER, FRANCES ELIZABETH (LCAT, CASAC)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:ELIZABETH
Last Name:LYSHAK-STELZER
Suffix:
Gender:F
Credentials:LCAT, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 E 3RD ST
Mailing Address - Street 2:APT. 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-0805
Mailing Address - Country:US
Mailing Address - Phone:212-979-7764
Mailing Address - Fax:
Practice Address - Street 1:1000 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2701
Practice Address - Country:US
Practice Address - Phone:718-239-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11438101YA0400X
NY00855-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist