Individual
ALYSSA LUKENOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7702 37TH AVE, JACKSON HEIGHTS, NY 11372-6628
(718) 424-7700
Mailing address
11 PINE HOLLOW CT, GREENLAWN, NY 11740-2205
(631) 988-1071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026307
NY
Other
Enumeration date
12/13/2016
Last updated
02/24/2025
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