|Active||Over 5 years ago|
|1051 RIVERSIDE DR
NEW YORK NY, 10032-1007, US
|6637 YELLOWSTONE BLVD
FOREST HILLS NY, 11375-2544, US
|License State||New York|
|Remove 1780947309 NPI Number|
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.
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.