Individual
ALISSA JOY REFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP, TSSLD
Contact information
Practice address
17 BEACON AVE, STATEN ISLAND, NY 10306-1350
(718) 207-4776
Mailing address
17 BEACON AVE, STATEN ISLAND, NY 10306-1350
(718) 207-4776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022400-1
NY
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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