MEDICARE: ALEX SCHELL DILLON

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	106H00000X	Marriage & Family Therapist	002204	NY

General Provider Information

NPI Number	:	1255154969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX SCHELL DILLON

Provider Business Mailing Address
First Line	:	152 MONITOR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-4235
Country	:	US
Telephone Number	:	929-374-2958
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 MONITOR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-4235
Country	:	US
Telephone Number	:	929-374-2958
Fax Number	:

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

Provider Enumeration Date	:	11/02/2024
Last Update Date	:	11/02/2024

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Directions to “ ALEX SCHELL DILLON ” Practice Location

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