Provider Demographics
NPI:1952133316
Name:SIERCK, ALEXANDER ARTHUR (JD, LP)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:ARTHUR
Last Name:SIERCK
Suffix:
Gender:M
Credentials:JD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 LINCOLN PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3704
Mailing Address - Country:US
Mailing Address - Phone:718-813-3043
Mailing Address - Fax:
Practice Address - Street 1:228 LINCOLN PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3704
Practice Address - Country:US
Practice Address - Phone:718-813-3043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYQ5MX3K5G103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis