Individual
MS. ALEXANDRA DZIEDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
406 E 176TH ST, BRONX, NY 10457-6003
(718) 901-6828
Mailing address
406 E 176TH ST, BRONX, NY 10457-6003
(718) 901-6828
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001235
NY
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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