Individual
AMANDA BRAUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 THREEPENCE DR, MELVILLE, NY 11747-3419
(631) 972-5772
Mailing address
52 THREEPENCE DR, MELVILLE, NY 11747-3419
(631) 972-5772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031763-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154903675
—
NY
Enumeration date
09/12/2022
Last updated
09/12/2022
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