Healthcare Provider Details

I. General information

NPI: 1811506231
Provider Name (Legal Business Name): LIZMARIE ALICEA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2020
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date: 05/07/2026
Reactivation Date: 07/17/2026

III. Provider practice location address

33 W 60TH ST FL 6
NEW YORK NY
10023-7905
US

IV. Provider business mailing address

33 W 60TH ST FL 6
NEW YORK NY
10023-7905
US

V. Phone/Fax

Practice location:
  • Phone: 718-520-8000
  • Fax:
Mailing address:
  • Phone: 718-520-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: