Individual
ALEXIS E. BLANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 LONGFELLOW AVE, BRONX, NY 10474-4809
(718) 893-1042
Mailing address
4108 PARSONS BLVD APT 6L, FLUSHING, NY 11355-1933
(347) 403-2304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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