Individual
CHERYL ALIZA WISCHOGRODSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
1346 CAFFREY AVE, FAR ROCKAWAY, NY 11691-5113
(718) 337-0571
Mailing address
1346 CAFFREY AVE, FAR ROCKAWAY, NY 11691-5113
(718) 337-0571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016122
NY
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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