Provider Demographics
NPI:1750371282
Name:PRATT, ALISON (PHD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:
Last Name:PRATT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 VERBENA AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2711
Mailing Address - Country:US
Mailing Address - Phone:516-488-1199
Mailing Address - Fax:516-437-2902
Practice Address - Street 1:7 VERBENA AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2711
Practice Address - Country:US
Practice Address - Phone:516-488-1199
Practice Address - Fax:516-437-2902
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0118291103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420002Medicaid
NY6803139OtherGHI
P421080OtherOXFORD
NYV4H152Medicare ID - Type Unspecified