Individual
ALEX HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 WESTCHESTER SQ, BRONX, NY 10461-3525
(718) 931-4045
Mailing address
1115 45TH AVE, APT 1A, LONG ISLAND CITY, NY 11101-5154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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