Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 086818 | NY |
N | 104100000X | Social Worker | 44SL05845000 | NJ |
NPI | 1003233289 |
---|---|
Provider Name | Alexander Fleischer |
First Address | Passaic, NJ 07055-3637 |
Second Address | Passaic, NJ 07055-3637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2014 |
Last Update Date | 25/03/2014 |