Individual
ALEXANDRA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(212) 694-9200
Mailing address
205 W 103RD ST, NEW YORK, NY 10025-8709
(202) 957-5306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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