Provider Demographics
NPI:1497253926
Name:ALEXIS CONASON, PSY.D., PLLC
Entity Type:Organization
Organization Name:ALEXIS CONASON, PSY.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CONASON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:646-841-3652
Mailing Address - Street 1:115 E 57TH ST STE 640
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2392
Mailing Address - Country:US
Mailing Address - Phone:646-841-3652
Mailing Address - Fax:
Practice Address - Street 1:115 E 57TH ST STE 640
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2392
Practice Address - Country:US
Practice Address - Phone:646-841-3652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty