Antonelli, Alexa Jae
Antonelli, Alexa Jae is an sole proprietor health care provider with primary practice located at 377 Valley Rd # 1154 , Clifton NJ 07013-1319. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Antonelli, Alexa Jae can be contacted via phone (646) 204-2295.Contact Information
Primary practice address
377 Valley Rd # 1154
Clifton NJ 07013-1319
Phone: (646) 204-2295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1225774755 |
|---|---|
| LBN Legal business name | Antonelli, Alexa Jae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2022 |
| Last updated | May 8th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225774755 | NPPES |
| New Jersey | Other | W256267561 | AETNA |
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