Individual
ALISA BOYMELGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MIDDLETON ST, BROOKLYN, NY 11206-5415
(718) 875-6900
Mailing address
18 MIDDLETON ST, BROOKLYN, NY 11206-5415
(718) 875-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075183
NY
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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