Individual
ALONDRA IVELISSE MEDINA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3 SYLVAN PL, VALLEY STREAM, NY 11581-1310
(787) 452-7351
Mailing address
3 SYLVAN PL, VALLEY STREAM, NY 11581-1310
(787) 452-7351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
122314-01
NY
Other
Enumeration date
03/23/2023
Last updated
03/01/2024
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