Provider Demographics
NPI:1225375876
Name:BUZNIK, ALEXANDRA
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:BUZNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 NEPTUNE AVENUE
Mailing Address - Street 2:18 B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224
Mailing Address - Country:US
Mailing Address - Phone:347-444-7229
Mailing Address - Fax:
Practice Address - Street 1:460 NEPTUNE AVE
Practice Address - Street 2:18 B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4301
Practice Address - Country:US
Practice Address - Phone:347-444-7229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator