Individual
ALISSA MARIE IANTOSCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
429 AVIATION RD, QUEENSBURY, NY 12804-2914
(518) 824-2600
Mailing address
9 E NOTRE DAME ST, APARTMENT 2, GLENS FALLS, NY 12801-2950
(518) 420-6462
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016068-1
NY
Other
Enumeration date
11/13/2008
Last updated
07/02/2013
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