Provider Demographics
NPI:1396075826
Name:CHRISTOPHER, ALEXANDRA BIBIK (LMSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:BIBIK
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 AUDUBON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-4220
Mailing Address - Country:US
Mailing Address - Phone:646-319-4186
Mailing Address - Fax:646-284-9729
Practice Address - Street 1:21 AUDUBON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-4220
Practice Address - Country:US
Practice Address - Phone:646-319-4186
Practice Address - Fax:646-284-9729
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079277-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker