Provider Demographics
NPI:1649025396
Name:TRISKA PSYCHOTHERAPY LCSW PLLC
Entity type:Organization
Organization Name:TRISKA PSYCHOTHERAPY LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:TRISKA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-203-7072
Mailing Address - Street 1:11714 UNION TPKE APT DB1
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3803
Mailing Address - Country:US
Mailing Address - Phone:212-203-7072
Mailing Address - Fax:724-390-8212
Practice Address - Street 1:211 EAST 43RD STREET
Practice Address - Street 2:FL. 6, SUITE 641
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-203-7072
Practice Address - Fax:724-390-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty