Individual
ALYSSA SANTAVICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
119 EMERSON CT, YORKTOWN HEIGHTS, NY 10598-2819
(914) 400-3165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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