Individual
MRS. ALYSSA STACEY KALLENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1336 50TH ST, BROOKLYN, NY 11219-3501
(718) 435-6906
(718) 435-6908
Mailing address
1336 50TH ST, BROOKLYN, NY 11219-3501
(718) 435-6906
(718) 435-6908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014446-1
NY
Other
Enumeration date
09/08/2007
Last updated
09/08/2007
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