Basic Information
| Provider Information | |||||||||
| NPI: | 1114030731 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCALLISTER | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LCSW, CASAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 515 E 89TH ST | ||||||||
| Address2: | 2-J | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 101287842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125355106 | ||||||||
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| Practice Location | |||||||||
| Address1: | 315 HUDSON STREET | ||||||||
| Address2: | THE HONORABLE CAROLINE K. SIMON COUNSELING CENTERS | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123668007 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | R0320631 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.