Individual
AZIZA ALTAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
9330 FORTHAMILLTON PKWY, APT 1D, BROOKLYN, NY 11209
(347) 583-5837
Mailing address
9330 FORTHAMILTON PKWY, APT 1D, BROOKLYN, NY 11209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025265
NY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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