Individual
MR. ALEJANDRO ALFREDO GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW R
Contact information
Practice address
20 MONTAUK HIGHWAY, BLUE POINT, NY 11715
(631) 244-0954
Mailing address
32 HOLLY DRIVE, SAYVILLE, NY 11782-1306
(631) 567-6930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0467121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02246835
—
NY
Enumeration date
06/21/2006
Last updated
07/08/2007
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