Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 017299 | NY |
NPI | 1023375029 |
---|---|
Provider Name | Dr. Lisa Orbe-Austin |
First Address | New York, NY 10001-4509 |
Second Address | New York, NY 10001-4509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 13/04/2012 |