Individual
MS. ALISSA MANASHIROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 769-2698
Mailing address
115 PALMYRA AVE, WOODMERE, NY 11598-1324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021423
NY
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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