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NPI Code Detail

MEDICARE: MS. ALYSSA D ALEXANDER

MEDICARE: MS. ALYSSA D ALEXANDER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1225522881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALYSSA D ALEXANDER
Provider Business Mailing Address
First Line : 1061 WILLMOHR ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-1750
Country : US
Telephone Number : 646-420-7476
Fax Number :
Provider Business Practice Location Address
First Line : 921 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1393
Country : US
Telephone Number : 718-778-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 10/27/2024

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Directions to “ MS. ALYSSA D ALEXANDER ” Practice Location

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