Individual
MS. ALEXANDRA ISAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 998-1415
(718) 627-1855
Mailing address
9611 65TH RD, APT # 406, REGO PARK, NY 11374-4158
(646) 409-2056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017409
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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