Individual
MISS ALECIA L CARACCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
999 TAFT AVE, ENDICOTT, NY 13760-7205
(607) 757-2143
Mailing address
999 TAFT AVE, ENDICOTT, NY 13760-7205
(607) 757-2143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021165-1
NY
Other
Enumeration date
09/15/2011
Last updated
09/14/2012
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