Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003210394 |
---|---|
Provider Name | Sima Alexandra Lichtschein |
First Address | Brooklyn, NY 11216-3584 |
Second Address | Bronx, NY 10453-4015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2014 |
Last Update Date | 28/10/2016 |