Individual
ALEXANDER BOGOMOLNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
203 JAY ST STE 501, BROOKLYN, NY 11201-4398
(347) 304-9465
Mailing address
203 JAY ST STE 501, BROOKLYN, NY 11201-4398
(347) 304-9465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
093630
NY
1041C0700X
Clinical Social Worker
Primary
087149
NY
Other
Enumeration date
11/12/2014
Last updated
03/16/2026
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