Individual
AMANDA STELLAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 MARTHA AVE, BELLPORT, NY 11713-1569
(631) 286-6750
Mailing address
116 EDGEWOOD AVE, OAKDALE, NY 11769-2036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025474
NY
Other
Enumeration date
03/14/2016
Last updated
06/16/2025
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