Individual
ALICE GNAZZO AZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MEADOW DR, ALBERTSON, NY 11507-1432
(516) 237-2448
Mailing address
321 E SHORE DR, MASSAPEQUA, NY 11758-8406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001706
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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