Individual
MS. ALEXANDRA FANUELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
134 WEST 26TH STREET, #602, NEW YORK, NY 10001
(212) 604-9360
Mailing address
23 SHERMAN ST, BROOKLYN, NY 11215-6014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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