Provider Demographics
NPI:1275152605
Name:ALEXANDER, NORMA J (FAMILY PEER ADVOCATE)
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:J
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:FAMILY PEER ADVOCATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 MADISON ST APT 8I
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1206
Mailing Address - Country:US
Mailing Address - Phone:646-421-7848
Mailing Address - Fax:
Practice Address - Street 1:26 MADISON ST APT 8I
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1206
Practice Address - Country:US
Practice Address - Phone:646-421-7848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health