Provider Demographics
NPI:1275896151
Name:GUSEYNALIEVA, ALEKSANDRA
Entity Type:Individual
Prefix:MS
First Name:ALEKSANDRA
Middle Name:
Last Name:GUSEYNALIEVA
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 1:2001 E 9TH ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4108
Mailing Address - Country:US
Mailing Address - Phone:646-441-8998
Mailing Address - Fax:
Practice Address - Street 1:34 MONROE ST APT PHG
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7790
Practice Address - Country:US
Practice Address - Phone:646-441-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-16
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NY503754111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No251B00000XAgenciesCase Management