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Individual

AMANDA LYNN DUFFY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2675 E 29TH ST, BROOKLYN, NY 11235-2103
(718) 648-0882
Mailing address
1953 E 37TH ST, BROOKLYN, NY 11234-4803
(347) 208-0843

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030576-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030576-01
NYS LICENSE
NY
Enumeration date
03/09/2021
Last updated
03/09/2021
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