Healthcare Provider Details

I. General information

NPI: 1568626380
Provider Name (Legal Business Name): LISA ERINN ESKALYO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W 57TH ST NATIONAL INSTITUTE FOR THE PSYCHOTHERAPIES, SUITE 501
NEW YORK NY
10107-0001
US

IV. Provider business mailing address

250 W 57TH ST NATIONAL INSTITUTE FOR THE PSYCHOTHERAPIES, SUITE 501
NEW YORK NY
10107-0001
US

V. Phone/Fax

Practice location:
  • Phone: 212-582-1566
  • Fax:
Mailing address:
  • Phone: 212-586-1566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP54729
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: