Provider Demographics
NPI:1689215584
Name:ALEXIS CRISAFI, MSN, PSYCHIATRIC NP, PLLC
Entity Type:Organization
Organization Name:ALEXIS CRISAFI, MSN, PSYCHIATRIC NP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISAFI
Authorized Official - Suffix:
Authorized Official - Credentials:NPP
Authorized Official - Phone:845-897-0009
Mailing Address - Street 1:1420 OLD FORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-2660
Mailing Address - Country:US
Mailing Address - Phone:845-897-0009
Mailing Address - Fax:631-282-8927
Practice Address - Street 1:2 SUMMIT CT STE 202
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-4318
Practice Address - Country:US
Practice Address - Phone:845-897-0009
Practice Address - Fax:631-235-4871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty