Provider Demographics
NPI:1245841410
Name:THERAPEUTIC ALLIANCE OF NEW YORK
Entity type:Organization
Organization Name:THERAPEUTIC ALLIANCE OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:917-912-3897
Mailing Address - Street 1:324 REDMOND RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1505
Mailing Address - Country:US
Mailing Address - Phone:917-209-7803
Mailing Address - Fax:
Practice Address - Street 1:STEPHANIE ZOLA
Practice Address - Street 2:1 UNION SQUARE SOUTH - APT. 21D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:917-912-3897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty