Individual
MRS. AMY MICHELLE VACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
150 ABBEY LN, LEVITTOWN, NY 11756-4042
(516) 433-7002
(516) 433-7002
Mailing address
18 GILDARE DR, EAST NORTHPORT, NY 11731-3223
(973) 464-2994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022758-1
NY
235Z00000X
Speech-Language Pathologist
8314
MA
Other
Enumeration date
07/22/2014
Last updated
07/21/2022
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