Provider Demographics
NPI:1619240454
Name:POER, ALLYSON (MHC, LP)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:POER
Suffix:
Gender:F
Credentials:MHC, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E 13TH ST
Mailing Address - Street 2:2C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3540
Mailing Address - Country:US
Mailing Address - Phone:516-680-3237
Mailing Address - Fax:
Practice Address - Street 1:500 E 13TH ST
Practice Address - Street 2:2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3540
Practice Address - Country:US
Practice Address - Phone:516-680-3237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP94634101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health