Provider Demographics
NPI:1932866928
Name:GARCIA NUNEZ, CARLOS ALEJADRO
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:ALEJADRO
Last Name:GARCIA NUNEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 COLUMBIA ST APT 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-1933
Mailing Address - Country:US
Mailing Address - Phone:717-803-7045
Mailing Address - Fax:
Practice Address - Street 1:191 JORALEMON ST FL 10
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4353
Practice Address - Country:US
Practice Address - Phone:718-722-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker