Individual
ALYSSA DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FAIRFIELD ST, STATEN ISLAND, NY 10308-1823
(718) 984-9800
Mailing address
15 FAIRFIELD ST, STATEN ISLAND, NY 10308-1823
(718) 984-9800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026479-1
NY
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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