Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | 092084 | NY |
Y | 1041C0700X | Clinical Social Worker | 089685 | NY |
NPI | 1003381450 |
---|---|
Provider Name | Alissa J Friedlander |
First Address | Brooklyn, NY 11211-3351 |
Second Address | New York, NY 10001-6217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2018 |
Last Update Date | 16/06/2020 |