Provider Demographics
NPI:1720553043
Name:DR. ELIZABETH D. STROSCIO, PH.D., LICENSED CLINICAL PSYCHOLOGIST, PC
Entity Type:Organization
Organization Name:DR. ELIZABETH D. STROSCIO, PH.D., LICENSED CLINICAL PSYCHOLOGIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:STROSCIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:646-400-2863
Mailing Address - Street 1:20 W 86TH ST
Mailing Address - Street 2:SUITE 1AA
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:646-400-2863
Mailing Address - Fax:
Practice Address - Street 1:20 W 86TH ST
Practice Address - Street 2:SUITE 1AA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:646-400-2863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty