Provider Demographics
NPI:1659594810
Name:PISCIOTTO, ALICE ROSE (MSW PHD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:ROSE
Last Name:PISCIOTTO
Suffix:
Gender:F
Credentials:MSW 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 PARK AVENUE
Mailing Address - Street 2:SUITE 3H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-679-0054
Mailing Address - Fax:212-685-3004
Practice Address - Street 1:50 PARK AVENUE
Practice Address - Street 2:SUITE 3H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10015
Practice Address - Country:US
Practice Address - Phone:212-679-0054
Practice Address - Fax:212-685-3004
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR00268711041C0700X
NJ44SC010212001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical