Healthcare Provider Details

I. General information

NPI: 1477427227
Provider Name (Legal Business Name): ALIYA FALK LMSW
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 UNION SQ E STE 1100
NEW YORK NY
10003-3209
US

IV. Provider business mailing address

522 SHORE RD APT 5PP
LONG BEACH NY
11561-4564
US

V. Phone/Fax

Practice location:
  • Phone: 212-675-3205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number129116
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: