Individual
MR. ALEXANDR USOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 412-3160
Mailing address
388 COLON AVE, STATEN ISLAND, NY 10308-1418
(347) 867-2666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103148
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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