Dr. Isa L. Eliasoph
Family Psychologist School Psychologist Clinical Child & Adolescent Psychologist
11 Grosvenor Pl
Great Neck
, New York 11021-4534
Dr. Isa L. Eliasoph
Family Psychologist School Psychologist Clinical Child & Adolescent Psychologist
11 Grosvenor Pl
Great Neck
, New York 11021-4534
(516) 482-3569
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Isa L. Eliasoph
- 11 Grosvenor Pl
- Great Neck, NY
- Zip : 11021-4534
- Phone : (516) 482-3569
Second Address
- Dr. Isa L. Eliasoph
- 11 Grosvenor Pl
- Great Neck, NY
- Zip : 11021-4534
- Phone : (516) 482-3569
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 017411 | NY |
| N | 103TF0000X | Family Psychologist | 017411 | NY |
| N | 103TS0200X | School Psychologist | 017411 | NY |
National Provider Identifier
| NPI | 1073782322 |
|---|---|
| Provider Name | Dr. Isa L. Eliasoph |
| First Address | Great Neck, NY 11021-4534 |
| Second Address | Great Neck, NY 11021-4534 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2008 |
| Last Update Date | 20/02/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.