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Individual

ALYSSON AGHELIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
79 WATERMILL LN, GREAT NECK, NY 11021-4234
(516) 749-6662
Mailing address
73 HICKS LN, GREAT NECK, NY 11024-2027

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027293
NY

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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