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Individual

MS. ANDREA D. ALSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC/SLP

Contact information

Practice address
36 DAVY DR, ROCHESTER, NY 14624-1348
(585) 247-2219
Mailing address
36 DAVY DR, ROCHESTER, NY 14624-1348
(585) 247-2219

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016761
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016761
NY
Enumeration date
03/25/2009
Last updated
03/25/2009
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