Alla Genzer, lcsw
Social Worker, Clinical in Staten Island, NY. Individual provider (NPI-1).
NPI number1881963015
StatusActive
Last updated in NPPESDec 16, 2011
Details
- NPI
- 1881963015
- Entity type
- Individual (NPI-1)
- Name
- Alla Genzer
- Credential
- lcsw
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2011
- Last updated
- Dec 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R052158-1 | NY | Yes |
Practice location
450 Seaview AveStaten Island, NY 10305-3401
Phone 718-226-1830
Mailing address
132 Dugdale StStaten Island, NY 10306-5553
Phone 718-226-1830 · Fax 718-226-8467
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