Individual
ALISSA OLIVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 COX AVE, YONKERS, NY 10704-4014
(914) 806-0683
Mailing address
106 COX AVE, YONKERS, NY 10704-4014
(914) 806-0683
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
976707889
NY
Other
Enumeration date
06/28/2015
Last updated
06/28/2015
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