Most Relevant Information
Provider Data
| NPI Number: | 1003360728 |
| Provider Name: | ALYSSA MARIE DEPAOLIS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2016 |
| Last Updated: | 08/10/2016 |
Provider Practice Location
1600 ROCKAWAY PKWY
BROOKLYN
NY
112364318
Practice Location Phone/Fax
| Phone: | 7182908600 |
| Fax: |
Provider Mailing Location
27 JESSICA CT
STATEN ISLAND
NY
103123653
Provider Mailing Phone/Fax
| Phone: | 9176074411 |
| Fax: |