Most Relevant Information
Provider Data
| NPI Number: | 1003444225 |
| Provider Name: | ALIZA CHIMENE-WEISS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 088845 |
Most Important Dates
| Enumeration Date: | 04/01/2020 |
| Last Updated: | 10/14/2020 |
Provider Practice Location
40 FLATBUSH AVENUE EXT
BROOKLYN
NY
112012903
Practice Location Phone/Fax
| Phone: | 2122717200 |
| Fax: |
Provider Mailing Location
40 FLATBUSH AVENUE EXT
BROOKLYN
NY
112012903
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |