Provider Demographics
NPI:1043302045
Name:SISKIND, ALAN B (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:SISKIND
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 OLD TOWN XING
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-4026
Mailing Address - Country:US
Mailing Address - Phone:914-244-8693
Mailing Address - Fax:
Practice Address - Street 1:14 OLD TOWN XING
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-4026
Practice Address - Country:US
Practice Address - Phone:914-244-8693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR002170-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical