Individual
MRS. AMANDA DAWN MIZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 PINE ST, FREEPORT, NY 11520-3617
(516) 867-5280
Mailing address
837 BECKMAN DR, NORTH BELLMORE, NY 11710-1342
(516) 236-2495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017511-1
NY
Other
Enumeration date
10/21/2009
Last updated
05/01/2012
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