Individual
AMANDA WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 W 74TH ST, NEW YORK, NY 10023-2401
(914) 772-5089
Mailing address
48 W 74TH ST, NEW YORK, NY 10023-2401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025876
NY
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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