Individual
MS. ALEXANDRA BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
348 PINE ST, FREEPORT, NY 11520-3113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006238
NY
Other
Enumeration date
01/17/2014
Last updated
11/20/2023
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