Most Relevant Information
Provider Data
| NPI Number: | 1003649450 |
| Provider Name: | ALEXANDRA DITIZII |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 37AC00781500 |
Most Important Dates
| Enumeration Date: | 08/21/2024 |
| Last Updated: | 08/21/2024 |
Provider Practice Location
210 HACKENSACK ST # A
WOOD RIDGE
NJ
070751705
Practice Location Phone/Fax
| Phone: | 9738707324 |
| Fax: |
Provider Mailing Location
210 HACKENSACK ST # A
WOOD RIDGE
NJ
070751705
Provider Mailing Phone/Fax
| Phone: | 9738707324 |
| Fax: |