Individual
ALEXANDRA M RULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
52 BAYVIEW AVE, BABYLON, NY 11702-4308
(516) 589-4110
Mailing address
12 OLD COACH RD, EAST SETAUKET, NY 11733-3801
(516) 589-4110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094696-1
NY
Other
Enumeration date
09/19/2015
Last updated
02/04/2022
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