Provider Demographics
NPI:1588777478
Name:TAMALONIS-OLOFSSON, ALBINA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALBINA
Middle Name:M
Last Name:TAMALONIS-OLOFSSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ALBINA
Other - Middle Name:M
Other - Last Name:TAMALONIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:333 W 86TH ST APT 1901B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3151
Mailing Address - Country:US
Mailing Address - Phone:917-747-9682
Mailing Address - Fax:
Practice Address - Street 1:333 W 86TH ST
Practice Address - Street 2:SUITE 1901B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3153
Practice Address - Country:US
Practice Address - Phone:212-799-9418
Practice Address - Fax:212-712-9566
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010319-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6887327OtherGHI
NYNS4157OtherOXFORD
NY01812477Medicaid
NY03520OtherCIGNA
NY158165OtherVALUEOPTIONS
NY183787OtherMHN
NY183787OtherMHN