Individual
ALEXANDRA BIRMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3710 RICHMOND AVE, STATEN ISLAND, NY 10312-3848
(917) 974-1519
Mailing address
26 SERRELL AVE, APT. H, STATEN ISLAND, NY 10312-3454
(718) 501-7982
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
093574
NY
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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