Individual
AMANDA GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 HAWKINS AVE, RONKONKOMA, NY 11779-2375
(631) 240-3579
Mailing address
20 TIBER RD, SYOSSET, NY 11791-1109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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