Provider Demographics
NPI:1699342535
Name:PALAZZO, ALEXANDRIA ROSE
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:ROSE
Last Name:PALAZZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 IRONGATE LN
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1721
Mailing Address - Country:US
Mailing Address - Phone:347-415-0571
Mailing Address - Fax:
Practice Address - Street 1:114 BURTON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-3550
Practice Address - Country:US
Practice Address - Phone:347-415-0571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist