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Provider Information for 1043850084


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ALEXANDRA LYNN GIRARDI LMSW


Sex: Female

NPI: 1043850084
Last Updated: 2020-01-07
Certification Date: 2020-01-07

Details

NameValue
NPI1043850084
Enumeration Date2020-01-07
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 9 SPRUCE LN
SYOSSET, NY 11791-4211
United States

Phone: 516-780-5559 | Fax:
 
Primary Practice Address 621 ELMONT RD
ELMONT, NY 11003-4028
United States

Phone: 516-502-2840 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker NY107603