Individual
AISHA ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 ADAM CLAYTON POWELL JR BLVD FL 4, NEW YORK, NY 10027-4941
(212) 553-6751
Mailing address
16318 JAMAICA AVE, JAMAICA, NY 11432-4919
(347) 844-0137
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
117734-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117734-01
LMSW
NY
Enumeration date
11/09/2022
Last updated
11/09/2022
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