Individual
ALEXA THERESE RUSSO-SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 CANDEE AVE # 11782, SAYVILLE, NY 11782-3055
(631) 629-2250
Mailing address
106 WANTAGH AVE S, EAST ISLIP, NY 11730-1237
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129669-01
NY
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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