Basic Information
| Provider Information | |||||||||
| NPI: | 1114477965 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHARP | ||||||||
| FirstName: | ALISON | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 532 47TH RD | ||||||||
| Address2: | APT 2L | ||||||||
| City: | LONG ISLAND CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 111015542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6466594632 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1824 MADISON AVE | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100353832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124234500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2016 | ||||||||
| LastUpdateDate: | 10/05/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 098707 | NY | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.