Individual
ALISA COONEY-MANDART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
374 HARRIS HILL RD, HANNIBAL, NY 13074-2265
(908) 461-3212
Mailing address
374 HARRIS HILL RD, HANNIBAL, NY 13074-2265
(908) 461-3212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58005986
NY
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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