Individual
ALEXA MARIE CORIDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2 CORACI BLVD, SHIRLEY, NY 11967-4833
(631) 696-4357
(631) 315-9473
Mailing address
2 CORACI BLVD, SHIRLEY, NY 11967-4833
(631) 521-3448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
112742
NY
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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