Provider Demographics
NPI:1942635891
Name:ADLER, ALIZA
Entity Type:Individual
Prefix:MS
First Name:ALIZA
Middle Name:
Last Name:ADLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALIZA
Other - Middle Name:
Other - Last Name:HIRSCHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 GRAND ST
Mailing Address - Street 2:APT. J2H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4262
Mailing Address - Country:US
Mailing Address - Phone:212-477-9535
Mailing Address - Fax:
Practice Address - Street 1:550 GRAND ST
Practice Address - Street 2:APT. J2H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4262
Practice Address - Country:US
Practice Address - Phone:212-477-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY435596101174400000X
NY435595101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY174400000XOtherSPECIALIST