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Individual

ANDREA ELAINE LASKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
74 INDIAN HILL RD, MOUNT KISCO, NY 10549-3827
(914) 241-0953
Mailing address
74 INDIAN HILL RD, MOUNT KISCO, NY 10549-3827
(914) 241-0953

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012018
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012018
NEW YORK STATE LICENSE
NY
Enumeration date
09/28/2010
Last updated
09/28/2010
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