Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | NY |
NPI | 1104465814 |
---|---|
Provider Name | Aliza Lennon |
First Address | Bronx, NY 10453-4015 |
Second Address | Bronx, NY 10453-4015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2019 |
Last Update Date | 27/12/2019 |