Individual
ALISHA GOLDBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 MOTT AVE, FAR ROCKAWAY, NY 11691-1761
(718) 327-1910
Mailing address
2601 MOTT AVE, FAR ROCKAWAY, NY 11691-1761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016316-1
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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