Individual
ALEXANDRA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2907 AMBOY RD, STATEN ISLAND, NY 10306-2008
(347) 896-5955
Mailing address
25 LYNBROOK CT, STATEN ISLAND, NY 10309-4510
(917) 841-6409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032305-01
NY
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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