Individual
ALEXANDER JACKSON MCKILLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11 MARCY DR, MOUNT SINAI, NY 11766-2213
(631) 905-7632
Mailing address
11 MARCY DR, MOUNT SINAI, NY 11766-2213
(631) 905-7632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
094674
NY
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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