Individual
MISS ALEXANDRA LEE GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 37TH ST, BROOKLYN, NY 11232-2505
(718) 788-7608
Mailing address
355 37TH ST, BROOKLYN, NY 11232-2505
(718) 788-7608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025925
NY
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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