Individual
ALEXANDRIA SKYE IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 PAULDING AVE, BRONX, NY 10469-1299
(718) 882-1212
Mailing address
1515 RESEARCH AVE, BRONX, NY 10465-1113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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