Individual
MRS. ALICE KAREN WYNKOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 OAK LEAF DR, STUYVESANT, NY 12173-3109
(518) 799-3471
Mailing address
16 OAK LEAF DR, STUYVESANT, NY 12173-3109
(518) 799-3471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005425-1
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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