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1699108597
ALYSE TANKANOW
STATEN ISLAND, NY
NPI
1699108597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2013-08-14
Last Update Date
2013-08-14
Business Address
-- ALYSE TANKANOW
997 STAFFORD AVE
STATEN ISLAND, NY 10309-2109
Phone number: 718-948-1900
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Mailing Address
-- ALYSE TANKANOW
561 10TH AVE APT 24H
NEW YORK, NY 10036-3054
Phone number: 734-645-2145
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