Individual
ALEXEI SOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
98120 QUEENS BLVD STE 1C, REGO PARK, NY 11374-4414
(609) 357-8053
Mailing address
98120 QUEENS BLVD STE 1C, REGO PARK, NY 11374-4414
(609) 357-8053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086258-1
NY
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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