Most Relevant Information
Provider Data
| NPI Number: | 1003685306 |
| Provider Name: | ALYSSANDRA MICHELLE O'CONNELL MS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2023 |
| Last Updated: | 12/28/2023 |
Provider Practice Location
624 HAWKINS AVE
LAKE RONKONKOMA
NY
117792375
Practice Location Phone/Fax
| Phone: | 6312403579 |
| Fax: |
Provider Mailing Location
500 PECONIC ST APT 331B
RONKONKOMA
NY
117797101
Provider Mailing Phone/Fax
| Phone: | 6314561220 |
| Fax: |