Individual
ALYSE ROSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
160 TIMBERLINE DR, BRENTWOOD, NY 11717-6209
(516) 356-6039
Mailing address
160 TIMBERLINE DR, BRENTWOOD, NY 11717-6209
(516) 356-6039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012499
NY
Other
Enumeration date
07/08/2010
Last updated
09/27/2011
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