Individual
AMY ISHKANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15715 19TH AVE, WHITESTONE, NY 11357-3820
(201) 739-0566
Mailing address
15734 12TH RD, BEECHHURST, NY 11357-1947
(201) 739-0566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023879
NY
Other
Enumeration date
08/21/2013
Last updated
10/31/2014
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