Provider Demographics
NPI:1326486051
Name:STEIN, ALISA NAOMI (MS SLP-CF)
Entity Type:Individual
Prefix:MS
First Name:ALISA
Middle Name:NAOMI
Last Name:STEIN
Suffix:
Gender:F
Credentials:MS SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 YORK AVE
Mailing Address - Street 2:APARTMENT 26E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6849
Mailing Address - Country:US
Mailing Address - Phone:510-684-7501
Mailing Address - Fax:
Practice Address - Street 1:1755 YORK AVE
Practice Address - Street 2:APARTMENT 26E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6849
Practice Address - Country:US
Practice Address - Phone:510-684-7501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist