Healthcare Provider Details

I. General information

NPI: 1487739959
Provider Name (Legal Business Name): ALEXANDRA KRITHADES MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE IRVING PLACE SUITE G10 E
NY NY
10003
US

IV. Provider business mailing address

ONE IRVING PLACE APT G10E SUITE G10 E
NY NY
10003
US

V. Phone/Fax

Practice location:
  • Phone: 212-982-3587
  • Fax:
Mailing address:
  • Phone: 212-982-3587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number000296
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: