Provider Demographics
NPI:1093183766
Name:PRIA ALPERN PHD PSYCHOLOGIST PLLC
Entity Type:Organization
Organization Name:PRIA ALPERN PHD PSYCHOLOGIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPERN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:646-504-9516
Mailing Address - Street 1:275 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3015
Mailing Address - Country:US
Mailing Address - Phone:646-504-9516
Mailing Address - Fax:
Practice Address - Street 1:275 CENTRAL PARK W
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3015
Practice Address - Country:US
Practice Address - Phone:646-504-9516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021290261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)