Doctor Name: | LUIS O ALAYON |
NPI Number: | 1013137124 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW ACSW BCD |
License Number: | R023950 |
Business Practice Address: | 3415 77th St Jackson Heights, NY - 11372 |
Business Phone Number: | 7184467286 |
Business Fax Number: | |
Mailing Address: | 8429 153rd Ave, Apt 6m HOWARD BEACH |
State: | NY |
Postal Code: | 11414 |
Phone Number: | 5165511733 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R023950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |