Individual
ALEXANDRA BACKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1751 PARK AVE, BAILEY HOUSE, NEW YORK, NY 10035-2831
(212) 289-6008
Mailing address
45 WILLOUGHBY AVE, 3F, BROOKLYN, NY 11205-3373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72 088102
NY
1041C0700X
Clinical Social Worker
149.014807
IL
Other
Enumeration date
09/07/2011
Last updated
03/12/2013
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