Eliasoph, Isa L.

Eliasoph, Isa L. is an sole proprietor health care provider with primary practice located at 11 Grosvenor Pl , Great Neck NY 11021-4534. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Eliasoph, Isa L. can be contacted via phone (516) 482-3569.

Contact Information

Primary practice address
11 Grosvenor Pl Great Neck NY 11021-4534
Phone: (516) 482-3569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 017411 New York
Behavioral Health & Social Service Providers / Family 103TF0000X 017411 New York
Behavioral Health & Social Service Providers / School 103TS0200X 017411 New York

Profile Details

NPI number 1073782322
LBN Legal business name Eliasoph, Isa L.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2008
Last updated Feb 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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