Individual
ALEXIS PERSOFF-CANFORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2171 JERICHO TPKE, COMMACK, NY 11725-2937
(631) 499-5595
Mailing address
513 10TH AVE, EAST NORTHPORT, NY 11731-1723
(631) 754-1905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008371
NY
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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