MEDICARE: ALYSSA BREE

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	117924	NY
2	1041C0700X	Clinical Social Worker	107793	TX

General Provider Information

NPI Number	:	1619570819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA BREE

Provider Business Mailing Address
First Line	:	19 E 98TH ST STE 10A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6501
Country	:	US
Telephone Number	:	929-270-8221
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 E 98TH ST STE 10A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6501
Country	:	US
Telephone Number	:	212-241-9728
Fax Number	:

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

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	03/03/2026

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Directions to “ ALYSSA BREE ” Practice Location

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