Provider Demographics
NPI:1760226351
Name:MISROK, ARIELLE (PSYD)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:MISROK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 CHRISTOPHER ST APT 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-4259
Mailing Address - Country:US
Mailing Address - Phone:914-907-9477
Mailing Address - Fax:
Practice Address - Street 1:87 CHRISTOPHER ST APT 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-4259
Practice Address - Country:US
Practice Address - Phone:914-907-9477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No103T00000XBehavioral Health & Social Service ProvidersPsychologist