Individual
ALEX LADYZHENSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3923 LAUREL AVE, BROOKLYN, NY 11224-1136
(718) 449-9883
Mailing address
3923 LAUREL AVE, BROOKLYN, NY 11224-1136
(718) 449-9883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053479-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02013629
—
NY
Enumeration date
05/18/2006
Last updated
07/09/2007
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