Individual
ALEXA MARIE GANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
111 SMITHTOWN BYP STE 205, HAUPPAUGE, NY 11788-2512
(631) 325-7755
(631) 886-1419
Mailing address
PO BOX 125, MANORVILLE, NY 11949-0125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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