Provider Demographics
NPI:1558912188
Name:ASKINAZI, LISA K (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:K
Last Name:ASKINAZI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 RIVERIA CT
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1647
Mailing Address - Country:US
Mailing Address - Phone:516-360-6268
Mailing Address - Fax:516-706-2020
Practice Address - Street 1:50 RIVERIA CT
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1647
Practice Address - Country:US
Practice Address - Phone:516-360-6268
Practice Address - Fax:516-706-2020
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0545081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical