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Organization
SPEECH-LANGUAGE LILIES, PLLC
Active
Organization
SPEECH-LANGUAGE LILIES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DE ALEM MS (OWNER)
(914) 413-7390
Entity
Organization
Contact information
Practice address
159 E MAIN ST, NEW ROCHELLE, NY 10801-5760
(914) 413-7390
Mailing address
551 N COLUMBUS AVE, MOUNT VERNON, NY 10552-1332
(914) 413-7390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023670
LICENSE
NY
Enumeration date
01/24/2022
Last updated
01/24/2022
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