MEDICARE: DR. ALISON PRATT PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0118291	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	6803139	OTHER	NY	GHI
3	P421080	OTHER		OXFORD

General Provider Information

NPI Number	:	1750371282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISON PRATT PHD

Provider Business Mailing Address
First Line	:	7 VERBENA AVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11001-2711
Country	:	US
Telephone Number	:	516-488-1199
Fax Number	:	516-437-2902

Provider Business Practice Location Address
First Line	:	7 VERBENA AVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11001-2711
Country	:	US
Telephone Number	:	516-488-1199
Fax Number	:	516-437-2902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	03/11/2013

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