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ALICIA IMPASTATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
381 S 5TH ST, BROOKLYN, NY 11211-7507
(844) 222-1173
Mailing address
49 LARCHMONT RD, BUFFALO, NY 14214-1266
(352) 552-6109

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003648
NY

Other

Enumeration date
06/28/2021
Last updated
07/19/2024
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