Healthcare Provider Details

I. General information

NPI: 1609079987
Provider Name (Legal Business Name): ALISON LALONDE KANE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FLATBUSH AVE
BROOKLYN NY
11217-2812
US

IV. Provider business mailing address

47 PLAZA ST W APARTMENT 10-B
BROOKLYN NY
11217-3905
US

V. Phone/Fax

Practice location:
  • Phone: 718-622-2000
  • Fax:
Mailing address:
  • Phone: 718-398-2532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number011800
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: