Individual
ALEXANDER PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HIGHLANDS BLVD, STE 101, PORT JEFFERSON, NY 11777-2320
(631) 331-8200
Mailing address
100 HIGHLANDS BLVD STE 101, PORT JEFFERSON, NY 11777-2320
(631) 331-8200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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