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Contact Information

ISA L ELIASOPH, PSY.D.
11 GROSVENOR PL
GREAT NECK, NY11021-4534
 Phone: 516-482-3569
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ISA L ELIASOPH · (Female)

NPI # 1073782322
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 02/20/2008
Last updated 02/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 017411
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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