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ALEXA RACHELLE MEDIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
175 E 94TH ST APT 1, NEW YORK, NY 10128-2905
(917) 674-3421
Mailing address
88 PLEASANT VIEW DR, LANCASTER, NY 14086-1002
(716) 861-0361

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115250
NY

Other

Enumeration date
08/15/2022
Last updated
08/15/2022
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