Individual
MS. ANISSA MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4300 HYLAN BLVD, STATEN ISLAND, NY 10312-6505
(718) 984-9022
Mailing address
63 MARSH AVE, SAYREVILLE, NJ 08872-1343
(732) 234-6313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016879-1
NY
235Z00000X
Speech-Language Pathologist
41YS00539000
NJ
Other
Enumeration date
02/01/2009
Last updated
02/01/2009
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