Individual
ALLISON COPPOLA MELENGIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-CLP
Contact information
Practice address
529 17TH ST, WEST BABYLON, NY 11704-2626
(631) 226-2645
Mailing address
529 17TH ST, WEST BABYLON, NY 11704-2626
(631) 226-2645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58 017087
NY
Other
Enumeration date
03/07/2007
Last updated
04/04/2012
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