Individual
ALEXIS CAMMISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 HAWKINS AVE, RONKONKOMA, NY 11779-2374
(631) 240-3579
Mailing address
622 HAWKINS AVE, RONKONKOMA, NY 11779-2374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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