Provider Demographics
NPI:1770600041
Name:KRIEGEL, ALISA (PHD)
Entity type:Individual
Prefix:
First Name:ALISA
Middle Name:
Last Name:KRIEGEL
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 1:20 EXCHANGE PLACE
Mailing Address - Street 2:APT. 2802
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3208
Mailing Address - Country:US
Mailing Address - Phone:917-716-5581
Mailing Address - Fax:
Practice Address - Street 1:138 W. 25TH STREET
Practice Address - Street 2:STE. 802
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7405
Practice Address - Country:US
Practice Address - Phone:917-310-5951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15684103T00000X
NY019061103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist