Individual
ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3175 E TREMONT AVE, 2ND FLOOR, BRONX, NY 10461-5700
(718) 504-9631
Mailing address
3871 SEDGWICK AVE, APT 1L, BRONX, NY 10463-4422
(917) 678-2335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022396
NY
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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