Provider Demographics
NPI:1063512135
Name:KARDON-ALKALAY, ALANNA VAILE
Entity Type:Individual
Prefix:MRS
First Name:ALANNA
Middle Name:VAILE
Last Name:KARDON-ALKALAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALANNA
Other - Middle Name:VAILE
Other - Last Name:KARDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:85 OLD MAMARONECK ROAD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-428-1813
Mailing Address - Fax:
Practice Address - Street 1:85 OLD MAMARONECK ROAD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-428-1813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071834-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical