Individual
DR. ALICIA HELENA BOLANOS ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPD,CCC-SLP/TSHH/BE
Contact information
Practice address
628 TINTON AVE, BRONX, NY 10455-3218
(718) 292-5478
Mailing address
1350 15TH ST APT 11S, FORT LEE, NJ 07024-2024
(347) 256-0030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022627-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03671116
—
NY
Enumeration date
09/14/2010
Last updated
02/17/2025
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