MEDICARE: ALEXANDRA MILENY MACHADO

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	130359	NY

General Provider Information

NPI Number	:	1639024128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA MILENY MACHADO

Provider Business Mailing Address
First Line	:	8643 144TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11435-3119
Country	:	US
Telephone Number	:	718-506-4767
Fax Number	:

Provider Business Practice Location Address
First Line	:	8643 144TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11435-3119
Country	:	US
Telephone Number	:	718-506-4767
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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