BLAKE ILYSA ROSE

NEW YORK, NY
NPI1023258613
Former NameBLAKE ILYSA SMALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  015114)
Enumeration Date2009-02-23
Last Update Date2009-02-23
Business Address
-- BLAKE ILYSA ROSE MS CCC SLP
139 E 35TH ST 5E
NEW YORK, NY 10016-4176
Phone number: 516-410-8452
Mailing Address
-- BLAKE ILYSA ROSE MS CCC SLP
139 E 35TH ST 5E
NEW YORK, NY 10016-4176
Phone number: 516-410-8452
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