Provider Demographics
NPI:1235427659
Name:CAROL A. ALBERT PSYCHOLOGIST, P.C.
Entity Type:Organization
Organization Name:CAROL A. ALBERT PSYCHOLOGIST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-721-5757
Mailing Address - Street 1:122 W 71ST ST
Mailing Address - Street 2:APT 4
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4036
Mailing Address - Country:US
Mailing Address - Phone:212-721-5757
Mailing Address - Fax:
Practice Address - Street 1:122 W 71ST ST
Practice Address - Street 2:APT 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4036
Practice Address - Country:US
Practice Address - Phone:212-721-5757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1083878201OtherNPPES