Individual
ALISON D WALLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
404 E 88TH ST, APT. 5F, NEW YORK, NY 10128-6613
(917) 751-3919
Mailing address
404 E 88TH ST, APT. 5F, NEW YORK, NY 10128-6613
(917) 751-3919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015449
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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