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NPI Code Detail

MEDICARE: ALANNA AZIZO LCSW

MEDICARE: ALANNA AZIZO 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
11041C0700XClinical Social Worker099630NY

General Provider Information

NPI Number : 1417563925
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALANNA AZIZO LCSW
Provider Business Mailing Address
First Line : 2825 3RD AVE STE 402
Second Line :
City : BRONX
State : NY
Zip : 10455-4073
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2825 3RD AVE STE 402
Second Line :
City : BRONX
State : NY
Zip : 10455-4073
Country : US
Telephone Number : 718-520-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2020
Last Update Date : 03/11/2025

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Directions to “ ALANNA AZIZO LCSW” Practice Location

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