Individual
ALEXEY DMITRIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 MELROSE AVE, BRONX, NY 10451-4443
(917) 473-6996
Mailing address
60 KNOLLS CRES APT 3J, BRONX, NY 10463-6321
(646) 729-7039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
080551
NY
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/01/2006
Last updated
10/24/2018
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