Provider Demographics
NPI:1386029312
Name:ALYAN, HALA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HALA
Middle Name:
Last Name:ALYAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E 52ND ST
Mailing Address - Street 2:APARTMENT 5D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6029
Mailing Address - Country:US
Mailing Address - Phone:917-600-5461
Mailing Address - Fax:
Practice Address - Street 1:726 BROADWAY
Practice Address - Street 2:SUITE 353B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9502
Practice Address - Country:US
Practice Address - Phone:917-600-5461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021235-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical