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NPI Code Detail

MEDICARE: ALEXANDRA MARSICO

MEDICARE: ALEXANDRA MARSICO
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
11041C0700XClinical Social Worker110806-01NY

General Provider Information

NPI Number : 1295462000
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MARSICO
Provider Business Mailing Address
First Line : 141 S 5TH ST
Second Line : APT 4W
City : BROOKLYN, NY
State : NY
Zip : 11211
Country : US
Telephone Number : 914-787-0230
Fax Number :
Provider Business Practice Location Address
First Line : 2381 HYLAN BLVD STE 13
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-3145
Country : US
Telephone Number : 800-277-4680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 08/02/2022

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Directions to “ ALEXANDRA MARSICO ” Practice Location

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