MEDICARE: ALEXANDRA SAVIANO LCSW

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	1041C0700X	Clinical Social Worker	076505-1	NY

General Provider Information

NPI Number	:	1285906230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA SAVIANO LCSW

Provider Business Mailing Address
First Line	:	415 BEVERLEY RD
Second Line	:	APT. 5R
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3153
Country	:	US
Telephone Number	:	718-344-1106
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 BEVERLEY RD
Second Line	:	APT. 5R
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3153
Country	:	US
Telephone Number	:	718-344-1106
Fax Number	:

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

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	02/07/2012

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