Provider Demographics
NPI:1871178558
Name:ALLIED PSYCHOLOGICAL SERVICES OF NEW YORK, PLLC
Entity type:Organization
Organization Name:ALLIED PSYCHOLOGICAL SERVICES OF NEW YORK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:646-893-7155
Mailing Address - Street 1:208 E 51ST ST # 138
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6557
Mailing Address - Country:US
Mailing Address - Phone:646-893-7155
Mailing Address - Fax:
Practice Address - Street 1:208 E 51ST ST # 138
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6557
Practice Address - Country:US
Practice Address - Phone:646-893-7155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-14
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty