Individual
ALEJANDRA BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 65TH ST, WOODSIDE, NY 11377-2848
(347) 257-8493
Mailing address
3721 65TH ST, WOODSIDE, NY 11377-2848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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