Individual
MS. ASHLEIGH BIFOLCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
196 ANCHORAGE DR, WEST ISLIP, NY 11795-5010
(631) 275-5103
Mailing address
196 ANCHORAGE DR, WEST ISLIP, NY 11795-5010
(631) 275-5103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026175-1
NY
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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