Individual provider · NPI-1

Aleksandra Antonovskaya

Social Worker · Fair Lawn, NJ

NPI number1700679180
StatusActive
Last updated in NPPESMay 27, 2025

Details

NPI
1700679180
Entity type
Individual (NPI-1)
Name
Mrs. Aleksandra Antonovskaya
Sex
Female
Sole proprietor
Yes
Enumeration date
May 27, 2025
Certification date
May 27, 2025
Last updated
May 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker44SL07271500NJYes

Practice location

18 Harlow Cres
Fair Lawn, NJ 07410-5233

Phone 917-605-2281

Mailing address

18 Harlow Cres
Fair Lawn, NJ 07410-5233

Phone 917-605-2281

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