Individual
MS. ALYSSA TATYANA COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
77 CHICAGO AVE, STATEN ISLAND, NY 10305-3757
(718) 442-7828
Mailing address
250 MAPLE PKWY, STATEN ISLAND, NY 10303-2460
(718) 344-6643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117400
NY
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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