Individual
ALEJANDRO PENALOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6714 41ST AVE, WOODSIDE, NY 11377-8128
(718) 458-4243
Mailing address
6714 41ST AVE, WOODSIDE, NY 11377-8128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010829
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/31/2019
Last updated
12/29/2020
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