Doctor Name: | DANIELLE ALESSIO |
NPI Number: | 1023319217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0803631 |
Business Practice Address: | 120 Mineola Blvd Suite 210 Mineola, NY - 115014064 |
Business Phone Number: | 5166634600 |
Business Fax Number: | 5166632308 |
Mailing Address: | 120 Mineola Blvd, Suite 210 MINEOLA |
State: | NY |
Postal Code: | 115014064 |
Phone Number: | 5166634600 |
Fax Number: | 5166632308 |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 10/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 0803631 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |