Individual
MRS. ALICE T PERICOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S WILBUR AVE, SYRACUSE, NY 13204-2732
(607) 756-5637
(607) 756-6588
Mailing address
129 CEDAR LN, GROTON, NY 13073-1311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002851-1
NY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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