Provider Demographics
NPI:1487739959
Name:KRITHADES, ALEXANDRA (MA)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:
Last Name:KRITHADES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE IRVING PLACE APT G10E
Mailing Address - Street 2:SUITE G10 E
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-982-3587
Mailing Address - Fax:
Practice Address - Street 1:ONE IRVING PLACE
Practice Address - Street 2:SUITE G10 E
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-982-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000296103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis