Individual
AMY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 CORDELLO AVE, CENTRAL ISLIP, NY 11722-3625
(631) 348-4184
Mailing address
22 MANTACK PATH, KINGS PARK, NY 11754-4555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014956-1
NY
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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