Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 078601-1 | NY |
NPI | 1003054602 |
---|---|
Provider Name | Robin Alexander |
First Address | Brooklyn, NY 11223-3039 |
Second Address | Brooklyn, NY 11223-5947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2009 |
Last Update Date | 29/04/2010 |