Individual
ALYSSA KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SCHUYLER DR, JERICHO, NY 11753-1911
(516) 655-0036
Mailing address
15 SCHUYLER DR, JERICHO, NY 11753-1911
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
12/30/2015
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