Individual
ALEXANDRA MUSACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104-50 102ND ST, 2E, OZONE PARK, NY 11417
(917) 440-0096
Mailing address
1820 E 13TH ST, APT. 3S, BROOKLYN, NY 11229-2850
(917) 440-0096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025405
NY
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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