Individual
ALEXANDER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1182 BROADWAY STE 3C, NEW YORK, NY 10001-5403
(609) 661-0937
Mailing address
545 NEPTUNE AVE APT 4E, BROOKLYN, NY 11224-4044
(609) 661-0937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120283
NY
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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