Individual
ALEXANDER DAVID OLENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1577 FULTON ST, BROOKLYN, NY 11213-1125
(718) 307-1577
Mailing address
1577 FULTON ST, BROOKLYN, NY 11213-1125
(718) 307-1577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042085
LICENSE
NY
Enumeration date
01/23/2020
Last updated
01/23/2020
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