Alyssa Marie Provenzano LMSW

NPI 1780947309 - Social Worker - 1041C0700X

NPI Details
NPI 1780947309
Gender Female
Enumeration Date 06/19/2012
Last Updated 06/19/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
1051 RIVERSIDE DR
SUITE 1701
NEW YORK NY, 10032-1007, US
Phone (212) 543-2958
Fax
Business Location
6637 YELLOWSTONE BLVD
APT. 4A
FOREST HILLS NY, 11375-2544, US
Phone (917) 579-3379
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 086452-1
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According to our database, Miss Alyssa Marie Provenzano LMSW NPI is 1780947309, taxonomy code is 1041C0700X and license number is 086452-1, license state is located at New York. Alyssa Marie Provenzano LMSW physically located at 1051 Riverside Dr, New York NY, 10032-1007. NPI Number Alyssa Marie Provenzano LMSW has the Individual type.

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1780947309 NPI number is provided on an as is basis without warranty of any kind. 1780947309 is maintained by the National Plan & Provider Enumeration System. The contents of Alyssa Marie Provenzano LMSW are for informational purposes only.