Individual
ALEXIS ENDORA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3444 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 920-8948
Mailing address
3444 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 920-2273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095300
NY
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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