Individual
AMANDA ROSE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4318 97TH PL, CORONA, NY 11368-4380
(718) 424-8278
Mailing address
9737 63RD RD APT 6J, REGO PARK, NY 11374-1621
(718) 269-8075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
036415
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
12/11/2025
Last updated
01/29/2026
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