Individual
ALYSSANDRA MICHELLE O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
624 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-2375
(631) 240-3579
Mailing address
500 PECONIC ST APT 331B, RONKONKOMA, NY 11779-7101
(631) 456-1220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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