Most Relevant Information
Provider Data
| NPI Number: | 1003350976 |
| Provider Name: | ALEXANDREA GONCHAR |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 026093 |
Most Important Dates
| Enumeration Date: | 12/13/2016 |
| Last Updated: | 12/13/2016 |
Provider Practice Location
465 NEW DORP LN
HUNGERFORD SCHOOL
STATEN ISLAND
NY
103064902
Practice Location Phone/Fax
| Phone: | 7186681395 |
| Fax: |
Provider Mailing Location
465 NEW DORP LN
HUNGERFORD SCHOOL
STATEN ISLAND
NY
103064902
Provider Mailing Phone/Fax
| Phone: | 7186681395 |
| Fax: |