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NPI Code Detail

MEDICARE: ALEXANDRA BRUNO LMSW

MEDICARE: ALEXANDRA BRUNO LMSW
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
1101YA0400XAddiction (Substance Use Disorder) Counselor113829NY

General Provider Information

NPI Number : 1497419204
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA BRUNO LMSW
Provider Business Mailing Address
First Line : 1565 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4168
Country : US
Telephone Number : 585-723-7723
Fax Number :
Provider Business Practice Location Address
First Line : 1565 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4168
Country : US
Telephone Number : 585-723-7723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2021
Last Update Date : 10/27/2021

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