Individual
ALIZA WISOTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
21 HAMMOND STREET, MONSEY, NY 10952
(845) 356-2625
Mailing address
21 HAMMOND STREET, MONSEY, NY 10952
(845) 356-2625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021538-1
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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