Healthcare Provider Details

I. General information

NPI: 1518022029
Provider Name (Legal Business Name): ALISON MERI GEDALOWITZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 08/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E 55TH ST
NEW YORK NY
10022-4030
US

IV. Provider business mailing address

141 E 55TH ST
NEW YORK NY
10022-4030
US

V. Phone/Fax

Practice location:
  • Phone: 212-759-1820
  • Fax:
Mailing address:
  • Phone: 212-759-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number220042
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: