Individual
MRS. ALYSSA MARIE BENCIVENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
293 E BROADWAY, NEW YORK, NY 10002-4801
(212) 673-4470
Mailing address
125 WILLOW AVE APT 2S, HOBOKEN, NJ 07030-3668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
10/09/2023
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