Individual
ALLISON DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250B ROUTE 25A, SHOREHAM, NY 11786-2106
(631) 821-8114
Mailing address
220 PARKSIDE AVE, MILLER PLACE, NY 11764-3518
(631) 744-1355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018290
NY
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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